Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Jeffrey Isaac Pottie death at Sydney, Cape County on March 19, 1971
Male Death Registration: Year: 1971 number: 2387
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 002387
1. PLACE OF DEATH County of Cape If in City or Town Sydney
If death occured in a hospital or institution Spring Garden Villa
3. PRINT NAME OF DECEASED Pottie, Jeffrey Isaac
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
French
7. Single, Married
widowed
8. BIRTHPLACE Hawkley
9. DATE OF BIRTH 3 25, 1896
10. AGE in Years74 Months11 Days25 | hrs or mins
11. Trade or profession retired
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse deceased
16. NAME of Father Isaac Pottie
17. BIRTHPLACE Hawkley, Nova Scotia
18. NAME of Mother Justine Burke
19. BIRTHPLACE River Bourgeois, NS
20. Signature of Informant George Pottie
address Hawkley RR #4 St Peters, NS
Relationship to deceased brother
21. Place of burial River Bourgeois RC Cemetery
Date of burial March 21, 1971
22. Undertaker Alex A Morrison, St Peters
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH March 19, 1971
CAUSE OF DEATH
(a) Hypostatic pneumonia
(b) Senility
(c)
other
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