Male Death Registration: Year: 1970 number: 5179
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 005179
1. PLACE OF DEATH County of Yarmouth If in City or Town Lower Wedgeport
3. PRINT NAME OF DECEASED Pothier, Irvin Paul
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
French
7. Single, Married
married
8. BIRTHPLACE South Belleville
9. DATE OF BIRTH 11 28, 1944
10. AGE in Years25 Months9 Days5 | hrs or mins
11. Trade or profession Fisherman
12. Kind of industry
13. Date last worked August 23, 1970 14. Total years 3
15. If married name of spouse Rita Pothier
16. NAME of Father Ludger Pothier
17. BIRTHPLACE South Belleville
18. NAME of Mother Annie Doucette
19. BIRTHPLACE South Belleville
20. Signature of Informant Mrs. George Muise
address Surette Island
Relationship to deceased Mother
21. Place of burial Ste. Anne du Ruisseau
Date of burial Aug. 26, 1970
22. Undertaker Huskilson's Funeral Home, Albert Street, Yarmouth
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH August 23, 1970
CAUSE OF DEATH
(a) Fractured skull
(b)
(c)
other Left pneumothorax; fract. left femur - accident auto
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=490487
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