Partial Transcript

Province of Manitoba

OFFICIAL NOTICE OF DEATH

Place of Death: Winnipeg, Boyd Ave, House Number 669

Residence of Deceased: 669 Boyd Ave, Winnipeg

1 Full name of deceased Kondratiuk, Prokop
2 If married or widowed give full maiden name
3 Sex Male
4 Racial Origin Ukrainian
5 Single, married/widowed or divorced Married
6 Place of birth Austria, Galicia
7 Date of birth 11 March 1866
8 Age 53 years, 8 months, 7 days
9 Main occupation of deceased
10 Former occupation of deceased
11 Length of residence 14 years
12 Full name of father Wasyl Kondratiuk
13 Birthplace of father Austria, Galacia
14 Maiden name of mother Unknown
15 Birthplace of mother Austria
16 Date of death 27-Oct-20
17 Name of physician who attended deceased J. Kalichman, M.D.
18 Your relationship to deceased Son
19 Were you in the house at the time of death Yes
20 Name and address of informant Sam Kondratiuk, 669 Boyd Ave
21 Date of information 29-Oct-20
21a Undertaker E. Draaki for W. J. Parker, 436 Selkirk Ave
22 Registered number 2114