Male Death Registration: Year: 1970 number: 4074
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 004074
1. PLACE OF DEATH County of Halifax If in City or Town Dartmouth
If death occured in a hospital or institution at home
3. PRINT NAME OF DECEASED Malaidack, George Andrew
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Ukrainian
7. Single, Married
married
8. BIRTHPLACE Braga, Podalsh, Ukraine
9. DATE OF BIRTH 12 10, 1910
10. AGE in Years59 Months6 Days5 | hrs or mins
11. Trade or profession Civil Servant
12. Kind of industry
13. Date last worked 1970 14. Total years 15
15. If married name of spouse Mrs Helen Malaidock
16. NAME of Father Andrew Malaidock
17. BIRTHPLACE Ukraine
18. NAME of Mother Anna Malaidock
19. BIRTHPLACE Ukraine
20. Signature of Informant Mrs Helen Malaidock
address 40 Rose St, Dartmouth
Relationship to deceased Wife
21. Place of burial Christ Church Cemetery, Dartmouth
Date of burial June 18, 1970
22. Undertaker A.L. Mattatall Funeral Service Ltd., Dartmouth
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH June 15, 1970
CAUSE OF DEATH
(a) Coronary Occlusion
(b) Arteriosclerosis
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=489383
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