Male Death Registration: Year: 1970 number: 4599
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 004599
1. PLACE OF DEATH County of Richmond If in City or Town River Tillard
3. PRINT NAME OF DECEASED Kowalski, Leo Victor
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Polish
7. Single, Married
married
8. BIRTHPLACE Manitoba
9. DATE OF BIRTH 12 1, 1943
10. AGE in Years26 Months7 Days7 | hrs or mins
11. Trade or profession Welder
12. Kind of industry Construction Co.
13. Date last worked July 8, 1970 14. Total years 4
15. If married name of spouse Barbara Kowalski
16. NAME of Father Victor Kowalski
17. BIRTHPLACE Brazil
18. NAME of Mother Catherine Hutsal
19. BIRTHPLACE Manitoba
20. Signature of Informant Barbara Kowalski
address River Tillard
Relationship to deceased Wife
21. Place of burial St. Josephs Bras d'Or
Date of burial July 12, 1970
22. Undertaker George R. Francis, Sydney Mines
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH July 8, 1970
CAUSE OF DEATH
(a) Drowning
(b)
(c)
other accident - drowned while swimming - River Tillard.
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=489908
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