Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Wilfred David Fralic death at Halifax, Halifax County on July 4, 1970
Male Death Registration: Year: 1970 number: 4724
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 004724
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
If death occured in a hospital or institution Camp Hill Hospital, Halifax
3. PRINT NAME OF DECEASED Fralic, Wilfred David
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE Liverpool
9. DATE OF BIRTH 8 23, 1910
10. AGE in Years59 Months10 Days11 | hrs or mins
11. Trade or profession Retired Laborer
12. Kind of industry
13. Date last worked 1960 14. Total years 25 yers
15. If married name of spouse Blanche Olive Fralic
16. NAME of Father Frank Fralic
17. BIRTHPLACE Queens County
18. NAME of Mother Ida Williams
19. BIRTHPLACE Queens County
20. Signature of Informant Mrs. Blanche Olive Fralic
address Western Shore
Relationship to deceased Wife
21. Place of burial Western Shore
Date of burial 7 July 1970
22. Undertaker Mahone Funeral Services, Mahone Bay
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH July 4, 1970
CAUSE OF DEATH
(a) Cancer of Esophagus
(b)
(c)
other Bronchopneumonia and Marie Strumpell Disease (Ankylosing Spondylitis)
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