Male Death Registration: Year: 1970 number: 2227
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 002227
1. PLACE OF DEATH County of Cape Breton If in City or Town Sydney
If death occured in a hospital or institution 83 Bay Street, Sydney
3. PRINT NAME OF DECEASED Starzomski, Joseph
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Polish
7. Single, Married
single
8. BIRTHPLACE Sydney
9. DATE OF BIRTH 2 8, 1950
10. AGE in Years20 Months0 Days7 | hrs or mins
11. Trade or profession
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse
16. NAME of Father Joseph Starzomski
17. BIRTHPLACE Sydney
18. NAME of Mother Anne Mayick
19. BIRTHPLACE Yugoslavia
20. Signature of Informant Peter Starzomski
address 1 West Street, Sydney
Relationship to deceased Brother
21. Place of burial Resurrection Cemetery
Date of burial February 18, 1970
22. Undertaker T.W. Curry Ltd., Sydney
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH February 16, 1970
CAUSE OF DEATH
(a) Gun shot wound (self inflicted)
(b)
(c)
other History of depression
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=487540
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