Male Death Registration: Year: 1971 number: 5825
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 005825
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
If death occured in a hospital or institution Victoria General Hospital, Halifax, NS
3. PRINT NAME OF DECEASED Zinck, Josiah St. Clair
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
German
7. Single, Married
single
8. BIRTHPLACE Walden, Lunenburg County
9. DATE OF BIRTH 2 21, 1912
10. AGE in Years59 Months6 Days26 | hrs or mins
11. Trade or profession Retired Labourer
12. Kind of industry
13. Date last worked 1966 14. Total years
15. If married name of spouse
16. NAME of Father
17. BIRTHPLACE
18. NAME of Mother Naomi Sawler
19. BIRTHPLACE Lunenburg Co., NS
20. Signature of Informant Leamon F. DeMont
address 104 Rufus Avenue, Fairview, Halifax Co., NS
Relationship to deceased
21. Place of burial Western Shore, Lunenburg Co., NS
Date of burial 19 September 1971
22. Undertaker Mahone Funeral Service, Mahone Bay, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH September 16, 1971
CAUSE OF DEATH
(a) Lobar Pneumonia
(b) Multiple Head Injuries due to Bicycle - Car Accident
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/
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