Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Marie Ann Pettipas death at Poirierville, Richmond County on June 25, 1971
Female Death Registration: Year: 1971 number: 4198
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 004198
1. PLACE OF DEATH County of Richmond If in City or Town Poirierville
3. PRINT NAME OF DECEASED Pettipas, Marie Ann
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
French
7. Single, Married
single
8. BIRTHPLACE Poirierville, Rich. County
9. DATE OF BIRTH 9 12, 1905
10. AGE in Years65 Months9 Days13 | 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
16. NAME of Father Amable Pettipas
17. BIRTHPLACE Poirierville, Rich. Co.
18. NAME of Mother Elizard Bonin
19. BIRTHPLACE Poirierville, Rich. Co.
20. Signature of Informant Standley Pettipas
address R R 2 Descousse, Rich. Co.
Relationship to deceased Brother
21. Place of burial Descousse, Rich. Co.
Date of burial June 27, 1971
22. Undertaker C A Boucher, Arichat, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH June 25, 1971
CAUSE OF DEATH
(a) Chronic Heart Disease
(b) Myocardial Insufficiency
(c)
other
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