Female Death Registration: Year: 1970 number: 4915
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 004915
1. PLACE OF DEATH County of Cape Breton If in City or Town Sydney
If death occured in a hospital or institution City Hospital
3. PRINT NAME OF DECEASED Pitchuck, Stella
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
Ukrainian
7. Single, Married
8. BIRTHPLACE Montreal, Quebec
9. DATE OF BIRTH 1 19, 1914
10. AGE in Years56 Months6 Days21 | hrs or mins
11. Trade or profession
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse
16. NAME of Father Peter Mischiek
17. BIRTHPLACE Ukraine
18. NAME of Mother Marie Kalpota
19. BIRTHPLACE Ukraine
20. Signature of Informant Theresa Johnson
address Rotary Drive, Sydney
Relationship to deceased Daughter
21. Place of burial St. Theresa Cemetery, Sydney
Date of burial 12 August 1970
22. Undertaker T. W. Curry Ltd., Sydney
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH August 9, 1970
CAUSE OF DEATH
(a) Hepatic Insufficiency
(b) Cirrhosis of Liver
(c)
other Chronic Renal Failure
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=490224
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