Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Bonita Marie Pottie death at Halifax, Halifax County on October 21, 1971
Female Death Registration: Year: 1971 number: 6302
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 006302
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
If death occured in a hospital or institution Isaac Walton Killam Hospital for Children
3. PRINT NAME OF DECEASED Pottie, Bonita Marie
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
French
7. Single, Married
single
8. BIRTHPLACE Sydney
9. DATE OF BIRTH 10 18, 1971
10. AGE in Years Months Days2 | hrs or mins
11. Trade or profession
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse
16. NAME of Father LeRoy Pottie
17. BIRTHPLACE L. Ardoise West
18. NAME of Mother Sylvia Jane Sampson
19. BIRTHPLACE Rockdale, N. S.
20. Signature of Informant LeRoy Pottie
address Rockdale, N. S.
Relationship to deceased Father
21. Place of burial R.C. Cemetery L. Ardoise
Date of burial Oct 23, 1971
22. Undertaker Alex A Morrison
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH October 21, 1971
CAUSE OF DEATH
(a)
(b)
(c)
other
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