Male Death Registration: Year: 1970 number: 1100
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 001100
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
If death occured in a hospital or institution 5479 Spring Garden Rd., Halifax
3. PRINT NAME OF DECEASED Pettipas, Arthur Isaac
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
French
7. Single, Married
widowed
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 7 19, 1888
10. AGE in Years81 Months5 Days20 | hrs or mins
11. Trade or profession Carpenter Retired
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse Ada Fry
16. NAME of Father Charles Pettipas
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Elizabeth Deacon
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Mrs Harvey Dudley
address 27 Mansion Ave., Spryfield, Halifax
Relationship to deceased Daughter
21. Place of burial St. Ann's Cemetery, Portugese Cove
Date of burial Jan 10, 1970
22. Undertaker J. Albert Walker
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH January 8, 1970
CAUSE OF DEATH
(a) Acute myocardial infarction
(b) Arteriosclerosis
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=486414
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