Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Zygmunt Wojtczak death at Halifax, Halifax County on July 24, 1970
Male Death Registration: Year: 1970 number: 4515
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 004515
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
If death occured in a hospital or institution Victoria General Hospital
3. PRINT NAME OF DECEASED Wojtczak, Zygmunt
4. Sex
Male
5. Citizenship
Poland
6. Racial Origin
Polish
7. Single, Married
married
8. BIRTHPLACE Poland
9. DATE OF BIRTH 4 15, 1933
10. AGE in Years37 Months3 Days9 | hrs or mins
11. Trade or profession
12. Kind of industry fisherman
13. Date last worked 14. Total years
15. If married name of spouse Christian
16. NAME of Father
17. BIRTHPLACE
18. NAME of Mother
19. BIRTHPLACE
20. Signature of Informant FK Warrren
address 1695 Hollis St. Halifax
Relationship to deceased agents
21. Place of burial Poland
Date of burial July 27, 1970
22. Undertaker Snow & Co. Ltd. Halifax
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH July 24, 1970
CAUSE OF DEATH
(a) Coronary occlusion
(b)
(c)
other
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