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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