Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Anastasia Markiw death at Glace Bay, Cape Breton County on June 21, 1971
Female Death Registration: Year: 1971 number: 4016
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 004016
1. PLACE OF DEATH County of Cape Breton If in City or Town Glace Bay
If death occured in a hospital or institution St. Joseph's Hospital
3. PRINT NAME OF DECEASED Markiw, Anastasia
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
Ukrainian
7. Single, Married
married
8. BIRTHPLACE Ukraine
9. DATE OF BIRTH 5 8, 1901
10. AGE in Years70 Months1 Days13 | hrs or mins
11. Trade or profession Housewife
12. Kind of industry at home
13. Date last worked June 1,1971 14. Total years
15. If married name of spouse Peter Markiw
16. NAME of Father John Zariwney
17. BIRTHPLACE Ukraine
18. NAME of Mother
19. BIRTHPLACE
20. Signature of Informant Steve Markiw
address 18 Alexander Street, Glace Bay, NS
Relationship to deceased Son
21. Place of burial Forest Haven Memorial Gardens, Grand Lake Rd, CB., NS
Date of burial June 24, 1971
22. Undertaker V. J. McGillivray Funeral Homes Limited Glace Bay, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH June 21, 1971
CAUSE OF DEATH
(a) Generalized Carcinomatosis
(b)
(c)
other
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