Female Death Registration: Year: 1971 number: 3326
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 003326
1. PLACE OF DEATH County of Kings If in City or Town Kentville
If death occured in a hospital or institution Country Home Nursing Home, Kentville NS
3. PRINT NAME OF DECEASED Pottier, Debbie Anne
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
French
7. Single, Married
single
8. BIRTHPLACE Shawnigan, Quebec
9. DATE OF BIRTH 12 12, 1966
10. AGE in Years4 Months3 Days15 | hrs or mins
11. Trade or profession invalid
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse
16. NAME of Father Carl Joseph Pottier
17. BIRTHPLACE Halifax, NS
18. NAME of Mother Audrey Mary Bourque
19. BIRTHPLACE Yarmouth, NS
20. Signature of Informant Carl J Potter
address 19 Centre St, Dartmouth NS
Relationship to deceased father
21. Place of burial Amirault Hill, Yar. Co, NS
Date of burial March 30 1971
22. Undertaker H.M Huskilson's Funeral Home, Yarmouth, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH March 27, 1971
CAUSE OF DEATH
(a) pneumonia
(b)
(c)
other Hydrocephalus with myelomeningocele
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=495402
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