Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Mary Kanchuck death at Sydney, Cape Breton County on September 13, 1971
Female Death Registration: Year: 1971 number: 6101
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 006101
1. PLACE OF DEATH County of Cape Breton If in City or Town Sydney
If death occured in a hospital or institution City of Sydney Hospital
3. PRINT NAME OF DECEASED Kanchuck, Mary
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
Polish
7. Single, Married
married
8. BIRTHPLACE Warsaw, Poland
9. DATE OF BIRTH 12 4, 1887
10. AGE in Years83 Months9 Days9 | hrs or mins
11. Trade or profession Housewife
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse Alexander Kawchuck
16. NAME of Father Karway
17. BIRTHPLACE Warsaw, Poland
18. NAME of Mother Barbara
19. BIRTHPLACE Warsaw, Poland
20. Signature of Informant Paul Kawchuck
address 1021 George St. Sydney
Relationship to deceased Son
21. Place of burial Resurrection Cemetery, Sydney Forks
Date of burial September 15, 1971
22. Undertaker T.W. Curry Limited Sydney
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH September 13, 1971
CAUSE OF DEATH
(a) Sudden death
(b) Myocardial Infarction
(c)
other
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