Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Juliana Jerbick death at Sydney, Cape County on June 3, 1970
Female Death Registration: Year: 1970 number: 5059
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 005059
1. PLACE OF DEATH County of Cape If in City or Town Sydney
If death occured in a hospital or institution St. Rita Hospital
3. PRINT NAME OF DECEASED Jerbick, Juliana
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
Yugoslavian
7. Single, Married
widowed
8. BIRTHPLACE Yugoslavia
9. DATE OF BIRTH 1 25, 1897
10. AGE in Years73 Months4 Days9 | 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 Joseph Kiralz
17. BIRTHPLACE Yucholovia
18. NAME of Mother Eva Nodge
19. BIRTHPLACE Yucholovia
20. Signature of Informant Mrs. Mary Dzaich
address 248 Henry St. Sydney
Relationship to deceased daughter
21. Place of burial Calvary Cemetery, Sydney
Date of burial June 5, 1970
22. Undertaker T.W. Curry Limited, Sydney
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH June 3, 1970
CAUSE OF DEATH
(a) coronary thrombus
(b)
(c)
other
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