Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Rose Marie Tomko death at Sydney, Cape Breton County on November 28, 1971
Female Death Registration: Year: 1971 number: 7491
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 007491
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 Tomko, Rose Marie
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
Ukrainian
7. Single, Married
widowed
8. BIRTHPLACE Ukraine
9. DATE OF BIRTH 3 26, 1890
10. AGE in Years81 Months8 Days2 | hrs or mins
11. Trade or profession
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse
16. NAME of Father
17. BIRTHPLACE
18. NAME of Mother
19. BIRTHPLACE
20. Signature of Informant Peter Tomko
address 30 Oxford St. Sydney
Relationship to deceased Son
21. Place of burial Holy Cross Cemetery, Sydney
Date of burial December 1, 1971
22. Undertaker T.W. Curry Ltd. Sydney
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH November 28, 1971
CAUSE OF DEATH
(a) Coronary Thrombosis
(b)
(c)
other
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