Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Lottie Petrin death at Tower Road, Cape Breton County on January 1, 1970
Female Death Registration: Year: 1970 number: 1129
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 001129
1. PLACE OF DEATH County of Cape Breton If in City or Town Tower Road
3. PRINT NAME OF DECEASED Petrin, Lottie
4. Sex
Female
5. Citizenship
American
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE United States of America
9. DATE OF BIRTH 11 7, 1883
10. AGE in Years86 Months1 Days25 | hrs or mins
11. Trade or profession housewife
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse Edgar Petrin
16. NAME of Father Williams Richards
17. BIRTHPLACE USA
18. NAME of Mother Ann Cooper
19. BIRTHPLACE USA
20. Signature of Informant
address
Relationship to deceased
21. Place of burial Greenwood Cemetery
Date of burial 04 Jan 1970
22. Undertaker Curry's Funeral Home
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH January 1, 1970
CAUSE OF DEATH
(a) myocardial infarction
(b) atherosclerotic heart disease
(c)
other
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