Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Peter Fedorsky death at Sydney, Cape Breton County on December 27, 1971
Male Death Registration: Year: 1971 number: 7626
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 007626
1. PLACE OF DEATH County of Cape Breton If in City or Town Sydney
If death occured in a hospital or institution St. Ritas Hospital
3. PRINT NAME OF DECEASED Fedorsky, Peter
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Ukrainian
7. Single, Married
widowed
8. BIRTHPLACE Poland
9. DATE OF BIRTH 6 23, 1902
10. AGE in Years69 Months6 Days4 | hrs or mins
11. Trade or profession Retired Miner
12. Kind of industry Dominion Coal Co.
13. Date last worked 1959 14. Total years
15. If married name of spouse
16. NAME of Father John Fedorizian
17. BIRTHPLACE Poland
18. NAME of Mother
19. BIRTHPLACE
20. Signature of Informant Annie Campbell
address 3400 Roots St., Downsview, Ontario
Relationship to deceased Daughter
21. Place of burial Calvary Cemetery, Dominion
Date of burial December 30, 1971
22. Undertaker Curry Funeral Home, Glace Bay
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH December 27, 1971
CAUSE OF DEATH
(a) Carcinomatosis
(b) Carcinoma of Lung
(c)
other
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