Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Wasil Stolachuk death at Kentville, Kings County on July 17, 1971
Male Death Registration: Year: 1971 number: 4950
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 004950
1. PLACE OF DEATH County of Kings If in City or Town Kentville
If death occured in a hospital or institution Country Home Nursing Home
3. PRINT NAME OF DECEASED Stolachuk, Wasil
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Austrian
7. Single, Married
8. BIRTHPLACE Austria
9. DATE OF BIRTH 9 4, 1892
10. AGE in Years78 Months10 Days13 | hrs or mins
11. Trade or profession Retired
12. Kind of industry
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 Patient's Chart
address Country Home Nursing Home, Kentville
Relationship to deceased
21. Place of burial Elm Grove, Kentville
Date of burial July 20, 1971
22. Undertaker HC Lindsay Funeral Home Ltd, Kentville
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH July 17, 1971
CAUSE OF DEATH
(a) Carcinoma Right Lung
(b)
(c)
other
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