Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Loran Dalton Potter death at Digby, Digby County on April 10, 1971
Male Death Registration: Year: 1971 number: 2768
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 002768
1. PLACE OF DEATH County of Digby If in City or Town Digby
If death occured in a hospital or institution Digby General Hospital
3. PRINT NAME OF DECEASED Potter, Loran Dalton
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE Virginia East Nova Scotia
9. DATE OF BIRTH 2 6, 1912
10. AGE in Years59 Months2 Days4 | hrs or mins
11. Trade or profession Mill Manager
12. Kind of industry International Cooperage
13. Date last worked 1971 14. Total years
15. If married name of spouse Mildred Wright
16. NAME of Father Harley O Potter
17. BIRTHPLACE NS
18. NAME of Mother Marion Trimper
19. BIRTHPLACE NS
20. Signature of Informant Gordon Potter
address Virginia East, NS
Relationship to deceased Brother
21. Place of burial Clementsvale, NS
Date of burial April 12, 1871
22. Undertaker Reigh W Jayne, Digby, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH April 10, 1971
CAUSE OF DEATH
(a) Renal Failure (Uremia)
(b) Arteriosclerosis
(c) Hypertension
other Congestive Heart Failure
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