Name

Relation

Condition

Sex

Age

Occupation

Employ Status

Where Born

Language

Infirmity

Num Rooms

Samuel Pitt

Head

M

M

42

Cotton Mill Worker

Employed

Prestwick, Aryshire, Scotland

4

Ann Pitt

Wife

M

F

41

Annan, Dumfriesshire, Scotland

Jonathon Pitt

Son

S

M

19

Cotton Card Stripper

Employed

Sorn, Ayrshire, Scotland

William Laidlaw Pitt

Son

S

M

15

Cotton Spinner's Assistant

Employed

Sorn, Ayrshire, Scotland

Mary-Ann Dalgliesh Pitt

Daughter

F

9

Scholar

Sorn, Ayrshire, Scotland

Samuel Pitt

Son

M

4

Sorn, Ayrshire, Scotland

David Pitt

Son

M

2

Sorn, Ayrshire, Scotland

1. PLACE OF DEATH 281 Pim St, Loo Ont, Algoma

2. LENGTH OF STAY 2 yrs in municipality, 25 yrs in province

3. PRINT FULL NAME OF DECEASED Pitt Wm

RESIDENCE 281 Pim St, Loo Ont

4. Sex

Male

5. NationalityCanadian

6. Racial OriginScottish

7. Single, Married,

Widowed or Divorced

Married

MEDICAL CERTIFICATE OF DEATH

8. BIRTHPLACE Scotland

9. DATE OF BIRTH February 4 2873

10. AGE 75

OCCUPATION

11. Trade, profession or kind of work Retired

12. Kind of industry or business

13. Date deceased last worked at this occupation

14. Total years spent in this occupation

15. If married give name of wife Agnes Goldie Gibb

or husband of deceased

FATHER

16. NAME Samuel Pitt

17. BIRTHPLACE Scotland

MOTHER

18. MAIDEN NAME Ann Laidlaw

19. BIRTHPLACE Scotland

20. Person giving information Agnes Goldie Gibb

Address 281 Pim St, Sault Ste. Marie

Relationship to deceased Wife

21. Place of Burial, Cremation or Removal

Date of burial or removal

22. Burial Permit was issued by

Address

23. UNDERTAKER

24. DATE OF DEATH October 29 1948

25. I HEREBY CERTIFY that I attended deceased from:

CAUSE OF DEATH Myocarditis, natural causes

26. If a woman, was the death associated with pregnancy?

27. Was there a surgical operation?Date of operation

State findings Was there an autopsy?

28. If death was due to external causes (violence) fill in also the following:

Signed by M.D.

29. Division Registrar's Record No.

30. Filed 29 Oct 1948 Harold Tollen

No.

Name and Surname.

Rank or Profession and whether Single, Married, or Widowed

When and Where Died.

Sex.

Age.

Name, Surname and Rank or Profession of Father.

Name and Maiden Surname of Mother.

Cause of Death, Duration of Disease, and Medical Attendant by whom certified.

Signature and Qualification of Informant and residence.

When and where Registered and Signature of Registrar.

19

Samuel Pitt

Heddling Master (Retired)

1918

June 12

M

69

John Pitt Handloom Weaver (Deceased)

Cerebral Hemorrhage

John Pitt, Son

12 Jun 1918

Widower of Ann Laidlaw

Chapel Street, Catrine, Catrine

____ Pitt

M.S. McMurren (Deceased)

D Sloan

39 Glebe Road, Kilmarnock, Kilmarknock

John Beveridge

No.

Name and Surname

When and where born

Sex

Name, Surname, & Rank or Profession of Father.

Name, and Maiden Surname of Mother.

Date and Place of Marriage

Signature and Qualification of Informant and residence, if out of the House in which the Birth occurred

When and Where Registered, and Signature of Registrar

John

Pitt

1875

July

Sixth

Cornmill Street, Catrine, Sorn

M

Samuel Pitt

Factory Card Stripper

Ann Pitt

M.S. Laidlaw

1871 February 4th

Sorn

Samuel Pitt

Father

(present)

1875

July 10th

at Sorn

(signed)

Thomas McWilliam