Male Death Registration: Year: 1971 number: 4633
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 004633
1. PLACE OF DEATH County of Cape Breton If in City or Town New Waterford
If death occured in a hospital or institution New Waterford Consolidated Hospital
3. PRINT NAME OF DECEASED Eksal, Charles
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Polish
7. Single, Married
widowed
8. BIRTHPLACE Poland
9. DATE OF BIRTH 1 24, 1883
10. AGE in Years88 Months5 Days7 | hrs or mins
11. Trade or profession Coal Miner
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse Annie Podgurski
16. NAME of Father Charles Eksal
17. BIRTHPLACE Poland
18. NAME of Mother
19. BIRTHPLACE
20. Signature of Informant Mrs Anne MacMullen
address 23 Union Highway, Scotchtown, NS
Relationship to deceased Daughter
21. Place of burial St Michael Cemetery, Scotchtown, NS
Date of burial July 4, 1971
22. Undertaker V J McGillivray Funeral Homes Limited, New Waterford, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH July 1, 1971
CAUSE OF DEATH
(a) Carcinoma Prostate due to new growth
(b) Pneumonia
(c) Senile degeneration
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=496708
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