Nova Scotia Archives

Nova Scotia Births, Marriages, and Deaths

Carlos L Potter death at Gunning Cove, Shelburne County on August 16, 1970

Male Death Registration: Year: 1970 number: 4990

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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH

02 - 004990

1. PLACE OF DEATH   County of Shelburne If in City or Town Gunning Cove

3. PRINT NAME OF DECEASED Potter, Carlos L

4. Sex

Male

5. Citizenship

American

6. Racial Origin

English

7. Single, Married

single

8. BIRTHPLACE Boston, Massachusetts, USA

9. DATE OF BIRTH 3  14, 1903

10. AGE in  Years67  Months5  Days2 | hrs or mins

11. Trade or profession Wireless Operator

12. Kind of industry

13. Date last worked 1967       14. Total years 40

15. If married name of spouse

16. NAME of Father Walter L Potter

17. BIRTHPLACE Boston

18. NAME of Mother Florence Doone

19. BIRTHPLACE Nova Scotia

20. Signature of Informant Maretta Potter

      address 50 Haskell St., N. Cambridge, Mass

      Relationship to deceased Sister

21. Place of burial Carleton Village

      Date of burial Aug 19, 1970

22. Undertaker H M Huskilson, Shelburne

MEDICAL CERTIFICATE OF DEATH

23. DATE OF DEATH August 16, 1970

CAUSE OF DEATH

(a) Coronary Thrombosis

(b)

(c)

other

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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=490299

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