Male Death Registration: Year: 1971 number: 4752
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 004752
1. PLACE OF DEATH County of Cape Breton If in City or Town Sydney
If death occured in a hospital or institution Sydney City Hospital
3. PRINT NAME OF DECEASED Krawec, John
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Polish
7. Single, Married
single
8. BIRTHPLACE Poland
9. DATE OF BIRTH 1 14, 1906
10. AGE in Years65 Months6 Days15 | hrs or mins
11. Trade or profession Open Hearth
12. Kind of industry Sisco
13. Date last worked 14. Total years
15. If married name of spouse
16. NAME of Father
17. BIRTHPLACE
18. NAME of Mother
19. BIRTHPLACE
20. Signature of Informant Mary Chalupa
address 113 Ferris St., Sydney, NS
Relationship to deceased
21. Place of burial Hardwood Hill Cemetery, Sydney, NS
Date of burial July 30, 1971
22. Undertaker R. H. Fillmore Funeral Home Ltd., Sydney, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH July 29, 1971
CAUSE OF DEATH
(a) Bronchopneumonia
(b) Coma
(c) Delirium Tremens
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=496827
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