Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Walter Wierbiski death at Sydney, Cape Breton County on September 2, 1971
Male Death Registration: Year: 1971 number: 6560
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 006560
1. PLACE OF DEATH County of Cape Breton If in City or Town Sydney
If death occured in a hospital or institution St. Rita Hospital
3. PRINT NAME OF DECEASED Wierbiski, Walter
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Polish
7. Single, Married
married
8. BIRTHPLACE New Waterford, Cape Breton County
9. DATE OF BIRTH 8 12, 1917
10. AGE in Years54 Months Days21 | hrs or mins
11. Trade or profession
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse Theresa
16. NAME of Father Walter Wierbiski
17. BIRTHPLACE Poland
18. NAME of Mother Veronica Gawenda
19. BIRTHPLACE Poland
20. Signature of Informant Hugh MacDonald
address 1719 King's Road, Sydney River, Cape Breton Co., NS
Relationship to deceased Brother in Law
21. Place of burial Resurrection Cemetery, Sydney Forks, NS
Date of burial 4 September 1971
22. Undertaker T. W. Curry Ltd., Sydney, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH September 2, 1971
CAUSE OF DEATH
(a) Cerebral Thrombosis
(b) Chronic Pneumocystis Pneumonia
(c)
other
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