Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
John Kazamel death at Glace Bay, Cape Breton County on September 21, 1970
Male Death Registration: Year: 1970 number: 5630
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 005630
1. PLACE OF DEATH County of Cape Breton If in City or Town Glace Bay
If death occured in a hospital or institution General Hospital
3. PRINT NAME OF DECEASED Kazamel, John
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Polish
7. Single, Married
married
8. BIRTHPLACE Poland
9. DATE OF BIRTH 12 14, 1893
10. AGE in Years76 Months9 Days7 | hrs or mins
11. Trade or profession
12. Kind of industry Retired
13. Date last worked 1952 14. Total years
15. If married name of spouse Agnes Margaret Mollish
16. NAME of Father John Kazamel
17. BIRTHPLACE Poland
18. NAME of Mother Annie Kulchick
19. BIRTHPLACE Poland
20. Signature of Informant Mrs Agnes Kazamel
address 123 Douglas Ave. Glace Bay
Relationship to deceased Wife
21. Place of burial
Date of burial September 24 1970
22. Undertaker V. J. McGillivray Funeral Homes Limited Glace Bay.
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH September 21, 1970
CAUSE OF DEATH
(a) Carcinoma of Stomach
(b)
(c)
other
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