Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Adele Pottie death at Sydney, Cape Breton County on June 21, 1971
Female Death Registration: Year: 1971 number: 4520
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 004520
1. PLACE OF DEATH County of Cape Breton If in City or Town Sydney
If death occured in a hospital or institution St. Rita Hospital Sydney, Cape Breton Co., NS
3. PRINT NAME OF DECEASED Pottie, Adele
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
French
7. Single, Married
married
8. BIRTHPLACE West L'Ardoise
9. DATE OF BIRTH 2 17, 1895
10. AGE in Years76 Months4 Days4 | 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 Fred J. Pottie
16. NAME of Father Denis Berthier
17. BIRTHPLACE West L'Ardoise, NS
18. NAME of Mother Virginia Evong
19. BIRTHPLACE West L'Ardoise
20. Signature of Informant Fred F. Pottie
address West L'Ardoise
Relationship to deceased Husband
21. Place of burial L'Ardoise R. C. Cemetery, Rich. Co., NS
Date of burial June 25, 1971
22. Undertaker Alex A. Morrison, St. Peters, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH June 21, 1971
CAUSE OF DEATH
(a) Nephrosclerosis with Uremia
(b) Diabetes Mellitus
(c) Pyloric Stenosis
other Hiatal Hernia with Esophageal Reflux
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