Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Annie Winnifred Pettis death at Halifax, Halifax County on August 8, 1970
Female Death Registration: Year: 1970 number: 4741
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 004741
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
If death occured in a hospital or institution Victoria General Hospital, Halifax
3. PRINT NAME OF DECEASED Pettis, Annie Winnifred
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE Clementsport
9. DATE OF BIRTH 4 10, 1906
10. AGE in Years64 Months3 Days29 | 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 Ernest Pettis
16. NAME of Father George Morine
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Susie Burrell
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Gordon Marine
address Bear River
Relationship to deceased Brother
21. Place of burial Bear River, Annapolis Co.
Date of burial 12 August 1970
22. Undertaker Jayne's Funeral Home Ltd., Digby
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH August 8, 1970
CAUSE OF DEATH
(a) Bronchopneumonia
(b) Myleofibrosis
(c) Congestive Heart Failure
other
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