Male Death Registration: Year: 1971 number: 7682
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 007682
1. PLACE OF DEATH County of Yarmouth If in City or Town Greenville
If death occured in a hospital or institution Greenville Lake
3. PRINT NAME OF DECEASED Pictou, Peter
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
African
7. Single, Married
widowed
8. BIRTHPLACE Quinan
9. DATE OF BIRTH 5 24, 1902
10. AGE in Years69 Months Days | hrs or mins
11. Trade or profession Laborer
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse
16. NAME of Father
17. BIRTHPLACE
18. NAME of Mother Mary Mitchell
19. BIRTHPLACE
20. Signature of Informant Mrs Norma Goodwin
address 10 Barnard St. Yar. NS
Relationship to deceased Friend
21. Place of burial Yarmouth, NS
Date of burial Dec 6 1971
22. Undertaker Sweenys Funeral Home, Yar. NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH December 4, 1971
CAUSE OF DEATH
(a) Drowning
(b)
(c)
other
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Note: African Nova Scotian
Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=499754
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