Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Daniel Stasuk death at New Glasgow, Pictou County on April 20, 1971
Male Death Registration: Year: 1971 number: 3090
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 003090
1. PLACE OF DEATH County of Pictou If in City or Town New Glasgow
If death occured in a hospital or institution Aberdeen Hospital
3. PRINT NAME OF DECEASED Stasuk, Daniel
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Russian
7. Single, Married
widowed
8. BIRTHPLACE Russia
9. DATE OF BIRTH 9 13, 1896
10. AGE in Years74 Months7 Days7 | hrs or mins
11. Trade or profession Retired
12. Kind of industry Coal Miner
13. Date last worked 14. Total years
15. If married name of spouse Mary Saboda
16. NAME of Father
17. BIRTHPLACE
18. NAME of Mother
19. BIRTHPLACE
20. Signature of Informant Mrs. Peter Thompson
address 446 Lorne Street, New Glasgow, NS
Relationship to deceased Niece
21. Place of burial Lorne Street Cemetery, New Glasgow
Date of burial April 23, 1971
22. Undertaker R.H. Porter Funeral Homes Ltd, New Glasgow
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH April 20, 1971
CAUSE OF DEATH
(a) Carcinoma of Lung
(b)
(c)
other
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