Male Death Registration: Year: 1970 number: 5057
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 005057
1. PLACE OF DEATH County of Cape Breton If in City or Town Sydney River
3. PRINT NAME OF DECEASED Domanski, John Joseph
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Russian
7. Single, Married
single
8. BIRTHPLACE Sydney
9. DATE OF BIRTH 8 2, 1945
10. AGE in Years24 Months9 Days8 | 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 John Domanski
17. BIRTHPLACE Romania
18. NAME of Mother Elizabeth Farrell
19. BIRTHPLACE Newfoundland
20. Signature of Informant Mrs. Elizabeth Domanski
address 506 Victoria Road, Sydney
Relationship to deceased Mother
21. Place of burial Calvary Cemetery, Sydney
Date of burial May 13, 1970
22. Undertaker T.W. Curry, Limited, Sydney
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH May 10, 1970
CAUSE OF DEATH
(a) Drowning - Sydney River Dam
(b)
(c)
other Boat capsized while fishing
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=490365
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