Male Death Registration: Year: 1970 number: 5497
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 005497
1. PLACE OF DEATH County of Colchester If in City or Town Truro
If death occured in a hospital or institution Colchester Hospital
3. PRINT NAME OF DECEASED Citulsky, Robert Stanley
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Ukranian
7. Single, Married
married
8. BIRTHPLACE Edmonton, Alberta
9. DATE OF BIRTH 8 28, 1915
10. AGE in Years55 Months Days7 | hrs or mins
11. Trade or profession Ret. Conductor
12. Kind of industry C.N.R.
13. Date last worked 14. Total years
15. If married name of spouse May DeFreytas
16. NAME of Father Stephen Citulsky
17. BIRTHPLACE Canada
18. NAME of Mother Ann Maloney
19. BIRTHPLACE Canada
20. Signature of Informant J. Citulsky
address Truro
Relationship to deceased Son
21. Place of burial Robie Street
Date of burial Sept. 7, 1970
22. Undertaker P.B. C_______, Truro
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH September 4, 1970
CAUSE OF DEATH
(a) Chronic My___lets
(b) Art_________________
(c)
other Gross obesity
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=490805
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