Nova Scotia Archives

Nova Scotia Births, Marriages, and Deaths

Annie Zawalak death at Halifax, Halifax County on July 10, 1970

Female Death Registration: Year: 1970 number: 4262

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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH

02 - 004262

1. PLACE OF DEATH   County of Halifax If in City or Town Halifax

3. PRINT NAME OF DECEASED Zawalak, Annie

4. Sex

Female

5. Citizenship

Canadian

6. Racial Origin

Polish

7. Single, Married

married

8. BIRTHPLACE Poland

9. DATE OF BIRTH 8  1, 1885

10. AGE in  Years84  Months11  Days9 | hrs or mins

11. Trade or profession Retired

12. Kind of industry Housewife

13. Date last worked 1964       14. Total years 60

15. If married name of spouse Harry Zawalak

16. NAME of Father Steven Krawda

17. BIRTHPLACE Poland

18. NAME of Mother Mary  

19. BIRTHPLACE Poland

20. Signature of Informant Mrs Catherine Chaban

      address 3414 Albert St. Halifax

      Relationship to deceased Daughter

21. Place of burial Gate of Heaven Lr. Sackville

      Date of burial July 13, 1970

22. Undertaker Cruikshank Funeral Home LTD.

MEDICAL CERTIFICATE OF DEATH

23. DATE OF DEATH July 10, 1970

CAUSE OF DEATH

(a) Broncho Pneumonia

(b) Spontanious Pneumothorax

(c)

other Hyperplasia liver ASHD

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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=489571

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