Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Charles Elliott Pettipas death at Halifax, Halifax County on September 6, 1970
Male Death Registration: Year: 1970 number: 5457
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 005457
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
If death occured in a hospital or institution Halifax Infirmary
3. PRINT NAME OF DECEASED Pettipas, Charles Elliott
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
French
7. Single, Married
married
8. BIRTHPLACE Chezzetcook
9. DATE OF BIRTH 2 2, 1915
10. AGE in Years55 Months7 Days4 | hrs or mins
11. Trade or profession owner
12. Kind of industry grocer
13. Date last worked Aug 1970 14. Total years
15. If married name of spouse Bessie Pettipas
16. NAME of Father Nicholas Pettipas
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Janet Williams
19. BIRTHPLACE Newfoundland
20. Signature of Informant Mrs. Bessie Pettipas
address 11 Summitt St. Dartmouth
Relationship to deceased wife
21. Place of burial Dartmouth Memorial Gardens
Date of burial Sept. 9, 1970
22. Undertaker A.L. Mattatall Funeral Service Ltd., Dartmouth
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH September 6, 1970
CAUSE OF DEATH
(a) Generalized Peritonitis
(b) GI Bleeding
(c)
other Duodenal Ulcer Fatty Degenerative Liver
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