Male Death Registration: Year: 1971 number: 5337
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 005337
1. PLACE OF DEATH County of Cape Breton If in City or Town Glace Bay
If death occured in a hospital or institution St. Joseph's Hospital
3. PRINT NAME OF DECEASED Luckas, Alexander
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Polish
7. Single, Married
married
8. BIRTHPLACE Poland
9. DATE OF BIRTH 9 15, 1890
10. AGE in Years80 Months10 Days28 | hrs or mins
11. Trade or profession Pension from Mines
12. Kind of industry Coal Mining
13. Date last worked 1956 14. Total years
15. If married name of spouse Rose Luckas
16. NAME of Father Luckas
17. BIRTHPLACE Poland
18. NAME of Mother
19. BIRTHPLACE Poland
20. Signature of Informant Geni Hodder
address 38 Steel Hill, Glace Bay
Relationship to deceased Step Daughter
21. Place of burial Forest Haven Cemetery, Sydney-Glace Bay Highway
Date of burial Aug 15, 1971
22. Undertaker Curry's Funeral Home
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH August 12, 1971
CAUSE OF DEATH
(a) Possible Pulmonary Embolism
(b) Chronic Brain Syndrome
(c) Cystitis & Chronic Bronchitis
other Fracture of right femur & Senility
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=497411
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