Male Death Registration: Year: 1971 number: 2500
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 002500
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
If death occured in a hospital or institution V.G. Hosp.
3. PRINT NAME OF DECEASED Pitts, Percy Gerald
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
separated
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 7 18, 1884
10. AGE in Years86 Months8 Days12 | 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 Morilla Fredricks
16. NAME of Father John Pitts
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Mary Slaunwhite
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Reginald Pitts
address 6479 Young Street, Halifax
Relationship to deceased Son
21. Place of burial St. Margrets Anglican Cemetery, Tantallon
Date of burial April 1, 1971
22. Undertaker J. Albert Walker
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH March 30, 1971
CAUSE OF DEATH
(a) Chronic renal failure
(b) Bronchopneumonia
(c) Heart failure
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=494577
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