Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
John Zablaski death at Dartmouth, Halifax County on July 16, 1970
Male Death Registration: Year: 1970 number: 4454
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 004454
1. PLACE OF DEATH County of Halifax If in City or Town Dartmouth
If death occured in a hospital or institution Nova Scotia Hospital
3. PRINT NAME OF DECEASED Zablaski, John
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Polish
7. Single, Married
married
8. BIRTHPLACE Poland
9. DATE OF BIRTH 11 25, 1890
10. AGE in Years79 Months7 Days21 | hrs or mins
11. Trade or profession Retired miner
12. Kind of industry coal mine
13. Date last worked Sept 1942 14. Total years 30
15. If married name of spouse Elizabeth Zablaski
16. NAME of Father n/k
17. BIRTHPLACE
18. NAME of Mother n/k
19. BIRTHPLACE
20. Signature of Informant Medical Records
address Nova Scotia Hospital, Dartmouth
Relationship to deceased
21. Place of burial St Josephs Bras d'Or
Date of burial July 19, 1970
22. Undertaker George R Frances, Sydney Mines
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH July 16, 1970
CAUSE OF DEATH
(a) Cerbrovascular Accident
(b) Hypertensive Artio sclerotic lesion
(c)
other
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