Male Death Registration: Year: 1971 number: 6829
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 006829
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
If death occured in a hospital or institution Halifax Infirmary
3. PRINT NAME OF DECEASED Grabowski, Frank
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Polish
7. Single, Married
married
8. BIRTHPLACE Stonewall, Manitoba
9. DATE OF BIRTH 1 13, 1919
10. AGE in Years52 Months5 Days10 | hrs or mins
11. Trade or profession Customs Officer
12. Kind of industry Canada Customs
13. Date last worked 15 November 1971 14. Total years 18 years
15. If married name of spouse Jenette Grabowski
16. NAME of Father John Grabowski
17. BIRTHPLACE Poland
18. NAME of Mother Ann Medynski
19. BIRTHPLACE Poland
20. Signature of Informant Mr. Richard Grabowski
address Box 40, 10 Lakeview Drive, Timberlea, Halifax Co., NS
Relationship to deceased Son
21. Place of burial St. Johns Cemetery, Halifax, NS
Date of burial 25 November 1971
22. Undertaker Cruikshanks Funeral Home Ltd.
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH November 23, 1971
CAUSE OF DEATH
(a) Carcinoma of Right Kidney
(b)
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=498902
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