Male Death Registration: Year: 1970 number: 4113
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 004113
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
If death occured in a hospital or institution I. W. Killam Hospital
3. PRINT NAME OF DECEASED Pottie, Mark Christopher
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
French
7. Single, Married
single
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 5 18, 1967
10. AGE in Years3 Months1 Days17 | hrs or mins
11. Trade or profession
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse
16. NAME of Father Peter Pottie.
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Barbara LeBlanc
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Peter Pottie
address River Bougeois, Hawker PO
Relationship to deceased Father
21. Place of burial St Joseph's Cemetery, River Bougeois
Date of burial July 7, 1970
22. Undertaker J. Albert Walker
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH July 5, 1970
CAUSE OF DEATH
(a) Cerebral. Haemorrhage
(b) Chronic Renal Failure
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=489422
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