Nova Scotia Archives

Nova Scotia Births, Marriages, and Deaths

Joseph Samuel Petite death at North Sydney, Cape Breton County on June 5, 1971

Male Death Registration: Year: 1971 number: 3879

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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH

02 - 003879

1. PLACE OF DEATH   County of Cape Breton If in City or Town North Sydney
If death occured in a hospital or institution St. Elizabeth Hospital

3. PRINT NAME OF DECEASED Petite, Joseph Samuel

4. Sex

Male

5. Citizenship

Canadian

6. Racial Origin

English

7. Single, Married

widowed

8. BIRTHPLACE Newfoundland

9. DATE OF BIRTH 1  13, 1898

10. AGE in  Years73  Months4  Days23 | hrs or mins

11. Trade or profession Civil Servant

12. Kind of industry Storeman - Point Edward Naval Base

13. Date last worked 1963       14. Total years 14

15. If married name of spouse Gertrude Mabel Murray Petite

16. NAME of Father John Petite

17. BIRTHPLACE Newfoundland

18. NAME of Mother Mary M.  Petite

19. BIRTHPLACE Newfoundland

20. Signature of Informant Walter S. Petite

      address 3 Brown St. Sydney Mines

      Relationship to deceased Son

21. Place of burial Lakeside Cemetery, North Sydney, NS

      Date of burial June 7, 1971

22. Undertaker W.J. Dooley Funeral Services Ltd

MEDICAL CERTIFICATE OF DEATH

23. DATE OF DEATH June 5, 1971

CAUSE OF DEATH

(a) Congestive Heart Failure

(b)

(c)

other

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