Female Death Registration: Year: 1971 number: 5680
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 005680
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
3. PRINT NAME OF DECEASED Pottie, Virginia
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
French
7. Single, Married
single
8. BIRTHPLACE West L'Ardoise, Richmond County
9. DATE OF BIRTH 5 23, 1906
10. AGE in Years65 Months3 Days17 | 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 Helair Pottie
17. BIRTHPLACE West L'Ardoise, Richmond Co., NS
18. NAME of Mother Mary Mombourquette
19. BIRTHPLACE Rockdale, Richmond Co., NS
20. Signature of Informant Helaird Pottie
address West L'Ardoise, Richmond Co., NS
Relationship to deceased Brother
21. Place of burial Roman Catholic Cemetery, L'Ardoise, Richmond Co., NS
Date of burial 12 September 1971
22. Undertaker Alex A. Morrison, PO Box 10, St. Peters, Richmond Co., NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH September 9, 1971
CAUSE OF DEATH
(a) Acute Myocardial Infarction
(b)
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=497754
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