Male Death Registration: Year: 1970 number: 3140
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 003140
1. PLACE OF DEATH County of Halifax If in City or Town Duncan Cove
3. PRINT NAME OF DECEASED Balka, Joseph
4. Sex
Male
5. Citizenship
American
6. Racial Origin
7. Single, Married
8. BIRTHPLACE United States of America
9. DATE OF BIRTH 5 2, 1927
10. AGE in Years42 Months11 Days24 | hrs or mins
11. Trade or profession Salesman
12. Kind of industry ?
13. Date last worked ? 14. Total years
15. If married name of spouse ?
16. NAME of Father Bernard Balka
17. BIRTHPLACE USA
18. NAME of Mother Bess Irene Klepacki
19. BIRTHPLACE USA
20. Signature of Informant U.S. Consulate
address Hollis St Halifax
Relationship to deceased None
21. Place of burial Gate of Heaven Lr Sack
Date of burial May 2, 1970
22. Undertaker J. Albert Walker, Halifax
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH April 26, 1970
CAUSE OF DEATH
(a) Multiple Head Injuries
(b) Gun-Shot Wound
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=488450
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