Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Adela Jaroslawa Pluskwyk death at New Glasgow, Pictou County on October 2, 1970
Female Death Registration: Year: 1970 number: 6077
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 006077
1. PLACE OF DEATH County of Pictou If in City or Town New Glasgow
3. PRINT NAME OF DECEASED Pluskwyk, Adela Jaroslawa
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
Ukrainian
7. Single, Married
single
8. BIRTHPLACE Germany
9. DATE OF BIRTH 6 28, 1948
10. AGE in Years22 Months3 Days4 | 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 Michael Pluskwyk
17. BIRTHPLACE Poland
18. NAME of Mother Wolentyna Tchencona
19. BIRTHPLACE Ukraine
20. Signature of Informant Michael Pluskwyk
address 133 Abercrombie Rd, New Glasgow
Relationship to deceased Father
21. Place of burial Lorne St Cemetery, New Glasgow
Date of burial 4 October 1970
22. Undertaker Angus, New Glasgow
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH October 2, 1970
CAUSE OF DEATH
(a) Asphyxia due to aspiration
(b) Epilipsy
(c)
other
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