Male Death Registration: Year: 1970 number: 1577
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 001577
1. PLACE OF DEATH County of Cape Breton If in City or Town New Waterford
If death occured in a hospital or institution New Waterford Consolidated Hospital
3. PRINT NAME OF DECEASED Boutilier, George Robert
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Scottish
7. Single, Married
married
8. BIRTHPLACE Port Morien
9. DATE OF BIRTH 1 7, 1890
10. AGE in Years80 Months0 Days7 | hrs or mins
11. Trade or profession Coal Miner
12. Kind of industry
13. Date last worked 1957 14. Total years 40
15. If married name of spouse Alma Marie Young
16. NAME of Father James Alexander Boutilier
17. BIRTHPLACE Port Morien
18. NAME of Mother
19. BIRTHPLACE
20. Signature of Informant Mrs. Thomas Hogan
address 111 Wood Ave., New Waterford
Relationship to deceased Daughter
21. Place of burial All Saints Anglican Cemetery, New Waterford
Date of burial January 17, 1970
22. Undertaker V.J. McGillivray Funeral Homes Limited, New Waterford
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH January 14, 1970
CAUSE OF DEATH
(a) Cerebral hemorrhage
(b) Arteriosclerosis
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=486891
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