Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Elizabeth Jane Boutilier death at Dominion, Cape Breton County on January 6, 1970
Female Death Registration: Year: 1970 number: 1042
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 001042
1. PLACE OF DEATH County of Cape Breton If in City or Town Dominion
If death occured in a hospital or institution 179 Mitchell Ave., Dominion
3. PRINT NAME OF DECEASED Boutilier, Elizabeth Jane
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
Scottish
7. Single, Married
widowed
8. BIRTHPLACE Frenchvale
9. DATE OF BIRTH 7 28, 1882
10. AGE in Years87 Months5 Days9 | hrs or mins
11. Trade or profession household duties
12. Kind of industry at home
13. Date last worked 1960 14. Total years
15. If married name of spouse William H Boutilier (dec)
16. NAME of Father Duncan Currie
17. BIRTHPLACE Frenchvale
18. NAME of Mother Mary Campbell
19. BIRTHPLACE Frenchvale
20. Signature of Informant Fabean Boutilier
address Gardiner Mines
Relationship to deceased Son
21. Place of burial St James, Gardiner Mines
Date of burial Jan. 9, 1970
22. Undertaker V J McGillivray Funeral Homes Limited, Glace Bay
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH January 6, 1970
CAUSE OF DEATH
(a) Metastases
(b) Cancer of the stomach
(c)
other Generalized arteriosclerosis with senility
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