Male Death Registration: Year: 1971 number: 1049
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 001049
1. PLACE OF DEATH County of Yarmouth If in City or Town Yarmouth
If death occured in a hospital or institution Yar. Regional Hospital
3. PRINT NAME OF DECEASED Kajtor, Andrew James
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Hungarian
7. Single, Married
married
8. BIRTHPLACE Hungary
9. DATE OF BIRTH , 1904
10. AGE in Years67 Months Days | hrs or mins
11. Trade or profession Mechanic
12. Kind of industry
13. Date last worked 1968 14. Total years
15. If married name of spouse Grace Kajtor
16. NAME of Father ? ?
17. BIRTHPLACE Hungary
18. NAME of Mother ? ?
19. BIRTHPLACE Hungary
20. Signature of Informant Richard J. Penton
address 22 Argyle St., Yarmouth
Relationship to deceased Nephew
21. Place of burial Our Lady of Calvary, Yar.
Date of burial January 8, 1971
22. Undertaker H. M. Huskilson, Yarmouth
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH January 6, 1971
CAUSE OF DEATH
(a) Metastatic Disease
(b) Bladder carcinoma
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=493127
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