Male Death Registration: Year: 1971 number: 5106
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 005106
1. PLACE OF DEATH County of Cape If in City or Town Glace Bay
If death occured in a hospital or institution Glace Bay General Hospital
3. PRINT NAME OF DECEASED Boniuk, Hyman
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Jewish
7. Single, Married
married
8. BIRTHPLACE Poland
9. DATE OF BIRTH 3 31, 1896
10. AGE in Years75 Months3 Days29 | hrs or mins
11. Trade or profession Shipper
12. Kind of industry Wholesale Groceries
13. Date last worked 1963 14. Total years 8
15. If married name of spouse Rachel Boniuk
16. NAME of Father Michael Boniuk
17. BIRTHPLACE Poland
18. NAME of Mother Nina Brodsky
19. BIRTHPLACE Poland
20. Signature of Informant Mitchell Boniuk
address 19 Heathcote, Toronto
Relationship to deceased Son
21. Place of burial Hebrew Cemetery Glace Bay
Date of burial July 30, 1971
22. Undertaker Patten's Funeral Home Ltd. Glace Bay, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH July 29, 1971
CAUSE OF DEATH
(a) Inter Cerebral Hemorrhage
(b) Generalized Arteriosclerosis
(c)
other Post Gastrectomy RV Stomach Distension
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=497180
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