Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Mary Helena Pettipas death at Halifax, Halifax County on September 4, 1971
Female Death Registration: Year: 1971 number: 5319
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 005319
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
If death occured in a hospital or institution Halifax Infirmary, Halifax, NS
3. PRINT NAME OF DECEASED Pettipas, Mary Helena
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
Irish
7. Single, Married
single
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 1 4, 1891
10. AGE in Years80 Months8 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
16. NAME of Father Charles Pettipas
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Elizabeth Dokin
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Charles Pettipas
address 39 St Margaret's Bay Road, Halifax
Relationship to deceased Brother
21. Place of burial St Ann's Cemetery, Portuguese Cove
Date of burial Sep 6, 1971
22. Undertaker J. Albert Walker Funeral Home
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH September 4, 1971
CAUSE OF DEATH
(a) Pulmonary Infarction
(b) Peritonitis
(c) Pulmonary Embolus
other Infarction sm. bowel
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