Male Death Registration: Year: 1971 number: 4397
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 004397
1. PLACE OF DEATH County of Cape Breton If in City or Town Sydney River
If death occured in a hospital or institution at home
3. PRINT NAME OF DECEASED Fedora, Peter
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Ukrainian
7. Single, Married
married
8. BIRTHPLACE Sydney
9. DATE OF BIRTH 7 23, 1905
10. AGE in Years65 Months11 Days13 | hrs or mins
11. Trade or profession
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse Flora
16. NAME of Father Michael Fedora
17. BIRTHPLACE Ukraine
18. NAME of Mother Rosalie Pzyblla
19. BIRTHPLACE Ukraine
20. Signature of Informant Mrs. Flora Fedora
address 22 MacRae Avenue, Sydney River
Relationship to deceased Wife
21. Place of burial Resurrection Cemetery, Sydney Forks, NS
Date of burial July 8, 1971
22. Undertaker T. W. Curry Limited, Sydney
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH July 6, 1971
CAUSE OF DEATH
(a) Acute myocardial Failure
(b) ventricular aneurysm
(c) Previous Acute Myocardial Infarction
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=496472
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