Nova Scotia Archives

Nova Scotia Births, Marriages, and Deaths

Michael Shewchuk death at Glace Bay, Cape Breton County on March 24, 1971

Male Death Registration: Year: 1971 number: 2716

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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH

02 - 002716

1. PLACE OF DEATH   County of Cape Breton If in City or Town Glace Bay
If death occured in a hospital or institution Glace Bay General Hospital

3. PRINT NAME OF DECEASED Shewchuk, Michael

4. Sex

Male

5. Citizenship

Canadian

6. Racial Origin

Ukrainian

7. Single, Married

single

8. BIRTHPLACE Saskatchewan

9. DATE OF BIRTH 11  15, 1912

10. AGE in  Years58  Months4  Days9 | hrs or mins

11. Trade or profession miner

12. Kind of industry Devco

13. Date last worked 1969       14. Total years 40 yrs

15. If married name of spouse

16. NAME of Father John Shewchuk

17. BIRTHPLACE Ukraine

18. NAME of Mother Marid Prfawaelzi

19. BIRTHPLACE Ukraine

20. Signature of Informant Mrs Annie McInnis

      address 53 Maple Ave, Glace Bay, NS

      Relationship to deceased Sister

21. Place of burial St. Anne's Cemetery, Glace Bay

      Date of burial March 27, 1971

22. Undertaker Curry's Funeral Home, Glace Bay, NS

MEDICAL CERTIFICATE OF DEATH

23. DATE OF DEATH March 24, 1971

CAUSE OF DEATH

(a) Renal Cell Carcinoma Kidney

(b)

(c)

other

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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=494793

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