Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Charles Gordon Bollong death at Pugwash, Cumberland County on February 25, 1970
Male Death Registration: Year: 1970 number: 2135
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 002135
1. PLACE OF DEATH County of Cumberland If in City or Town Pugwash
If death occured in a hospital or institution Durham St
3. PRINT NAME OF DECEASED Bollong, Charles Gordon
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE Gulf Shore
9. DATE OF BIRTH 3 2, 1911
10. AGE in Years58 Months11 Days14 | hrs or mins
11. Trade or profession Fish Merchant
12. Kind of industry
13. Date last worked Nov 1968 14. Total years
15. If married name of spouse Mrs Doris Bollong
16. NAME of Father Charles Bollong
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Clara Noiles
19. BIRTHPLACE New Brunswick
20. Signature of Informant Mrs Doris Bollong
address Pugwash
Relationship to deceased Wife
21. Place of burial Pugwash Junction
Date of burial February 27, 1970
22. Undertaker W I Mundle, Pugwash
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH February 25, 1970
CAUSE OF DEATH
(a) arteriosclerotic heart disease
(b)
(c)
other Diabetes mellitus peripheral neuritis
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