Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Clifford Henry Pottie death at Halifax, Halifax County on June 30, 1970
Male Death Registration: Year: 1970 number: 4048
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 004048
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
If death occured in a hospital or institution Halifax Civic Hospital
3. PRINT NAME OF DECEASED Pottie, Clifford Henry
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
French
7. Single, Married
married
8. BIRTHPLACE Halifax
9. DATE OF BIRTH 3 3, 1918
10. AGE in Years52 Months3 Days27 | hrs or mins
11. Trade or profession Specification Writer
12. Kind of industry HMCS Dockyard
13. Date last worked June 26, 1970 14. Total years 20
15. If married name of spouse Margaret Speers
16. NAME of Father Frank Pottie
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Evangeline Mombourquette
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Mrs. C.H. Pottie
address 5784 Kaye St. Halifax
Relationship to deceased Wife
21. Place of burial Gate of Heaven Cemetery, Lr Sackville
Date of burial July 3, 1970
22. Undertaker Halifax Funeral Home Ltd.
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH June 30, 1970
CAUSE OF DEATH
(a) Myocardial Infarction Coronary Arterosclerous Cardiac Arrest
(b)
(c)
other
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