Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
John Winfield Delong death at Bridgewater, Lunenburg County on May 30, 1971
Male Death Registration: Year: 1971 number: 4173
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 004173
1. PLACE OF DEATH County of Lunenburg If in City or Town Bridgewater
If death occured in a hospital or institution Dawson Memorial Hospital
3. PRINT NAME OF DECEASED Delong, John Winfield
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
French
7. Single, Married
single
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 5 30, 1971
10. AGE in Years Months Days | 9 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 Gerald DeLong
17. BIRTHPLACE NS
18. NAME of Mother Helene Vant Hoff
19. BIRTHPLACE NS
20. Signature of Informant Gerald DeLong
address Barss Corner
Relationship to deceased Father
21. Place of burial Barss Corner, Lun. Co.
Date of burial June 2, 1971
22. Undertaker Langille's Funeral Home, Barss Corner
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH May 30, 1971
CAUSE OF DEATH
(a) Congenital Heart Disease
(b) Multiple congenital anomalies
(c)
other
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