Male Death Registration: Year: 1971 number: 2191
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 002191
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
If death occured in a hospital or institution Camp Hill Hospital
3. PRINT NAME OF DECEASED Pottie, Stephen Deblois
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE Halifax
9. DATE OF BIRTH 5 15, 1914
10. AGE in Years56 Months10 Days1 | hrs or mins
11. Trade or profession Printer
12. Kind of industry at Halifax
13. Date last worked Jan 1969 14. Total years 12 yrs
15. If married name of spouse Muriel Pottie
16. NAME of Father Simon Pottie
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Margaret Roche
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Douglas O. Pottie
address 44 Symonds St., Dartmouth
Relationship to deceased son
21. Place of burial St. Paul Cemetery, Dartmouth
Date of burial March 18, 1971
22. Undertaker Dartmouth Funeral Home
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH March 16, 1971
CAUSE OF DEATH
(a) Carcinoma sigmoid colon
(b)
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=494268
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