Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Roderick Tomiczek death at Glace Bay, Cape Breton County on July 23, 1970
Male Death Registration: Year: 1970 number: 4422
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 004422
1. PLACE OF DEATH County of Cape Breton If in City or Town Glace Bay
If death occured in a hospital or institution St. Joseph's Hospital (D.O.A)
3. PRINT NAME OF DECEASED Tomiczek, Roderick
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Polish
7. Single, Married
widowed
8. BIRTHPLACE Poland
9. DATE OF BIRTH 4 23, 1908
10. AGE in Years62 Months3 Days | hrs or mins
11. Trade or profession Retired miner
12. Kind of industry D.E.V.C.O
13. Date last worked 1969 14. Total years
15. If married name of spouse Matilda MacIssac (dec 1953)
16. NAME of Father Stanley Tomiczek
17. BIRTHPLACE Poland
18. NAME of Mother Frances Winters
19. BIRTHPLACE Poland
20. Signature of Informant J George Tomizek
address Rardiner (?) Rd, Dominion
Relationship to deceased Son
21. Place of burial St. Eugene's, Dominion
Date of burial July 25, 1970
22. Undertaker V. J. McGillivray Funeral Homes Ltd, Glace Bay
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH July 23, 1970
CAUSE OF DEATH
(a)
(b)
(c)
other
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