Male Death Registration: Year: 1971 number: 7112
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 007112
1. PLACE OF DEATH County of Yarmouth If in City or Town Yarmouth
3. PRINT NAME OF DECEASED Pitman, Amos Hartley
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE Brooklyn, Yarmouth County
9. DATE OF BIRTH 10 14, 1900
10. AGE in Years71 Months1 Days18 | hrs or mins
11. Trade or profession Owner Store
12. Kind of industry Grocery Store
13. Date last worked 14. Total years
15. If married name of spouse Clara Tinkham
16. NAME of Father Henry Diamond Pitman
17. BIRTHPLACE Yarmouth NS
18. NAME of Mother Ida Belle Brittain
19. BIRTHPLACE Yarmouth NS
20. Signature of Informant Arnold Ross Pitman
address Raynardton, Yarmouth, NS
Relationship to deceased Son
21. Place of burial Brooklyn, Yarmouth Co., NS
Date of burial Dec 05 1971
22. Undertaker Sweeney Funeral Home
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH December 2, 1971
CAUSE OF DEATH
(a) Coronary Artery Disease
(b) __________?
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=499184
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