Nova Scotia Archives

Nova Scotia Births, Marriages, and Deaths

Charles Eksal death at New Waterford, Cape Breton County on July 1, 1971

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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