Male Death Registration: Year: 1971 number: 6223
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 006223
1. PLACE OF DEATH County of Cape Breton If in City or Town Sydney
If death occured in a hospital or institution City Hospital, Sydney
3. PRINT NAME OF DECEASED Skrypnick, William
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Ukrainian
7. Single, Married
married
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 1 7, 1922
10. AGE in Years49 Months9 Days12 | hrs or mins
11. Trade or profession Steel Worker
12. Kind of industry Steel Plant
13. Date last worked 18 October 1971 14. Total years
15. If married name of spouse Mrs. Eleanor Skrypnick
16. NAME of Father John Skrypnick
17. BIRTHPLACE Ukraine
18. NAME of Mother
19. BIRTHPLACE Ukraine
20. Signature of Informant Mrs. William Skrypnick
address 145 Weidner Drive, Sydney River, NS
Relationship to deceased Wife
21. Place of burial Forest Haven Memorial Gardens, Sydney, NS
Date of burial 21 October 1971
22. Undertaker T. W. Curry Ltd., Sydney, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH October 19, 1971
CAUSE OF DEATH
(a) Brain Contusion/Laceration with Internal Hemorrhage
(b) Multiple Cranial Fractures
(c) Cerebral Contusion
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=498296
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