Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Clarence Jacob Zong death at Caledonia, Queens County on December 26, 1971
Male Death Registration: Year: 1971 number: 7599
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 007599
1. PLACE OF DEATH County of Queens If in City or Town Caledonia
3. PRINT NAME OF DECEASED Zong, Clarence Jacob
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 4 1, 1899
10. AGE in Years72 Months8 Days25 | hrs or mins
11. Trade or profession Labourer
12. Kind of industry Retired
13. Date last worked 1960 14. Total years 40
15. If married name of spouse
16. NAME of Father William Zong
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Hannah Brown
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Kathleen Smith
address South Brookfield, Queens Co., NS
Relationship to deceased Daughter
21. Place of burial Caledonia, Queens Co., NS
Date of burial December 29, 1971
22. Undertaker Langilles Funeral Home, Barss Corner, Lunenburg Co., NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH December 26, 1971
CAUSE OF DEATH
(a) Coronary Thrombosis
(b) Generalized Arteriosclerosis
(c)
other
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