Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Levi Thomas Boutilier death at Glace Bay, Cape Breton County on February 22, 1970
Male Death Registration: Year: 1970 number: 2582
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 002582
1. PLACE OF DEATH County of Cape Breton If in City or Town Glace Bay
If death occured in a hospital or institution General Hospital
3. PRINT NAME OF DECEASED Boutilier, Levi Thomas
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Dutch
7. Single, Married
widowed
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 1 23, 1918
10. AGE in Years51 Months7 Days30 | hrs or mins
11. Trade or profession Coal Miner - retired
12. Kind of industry Dominion Coal Co.
13. Date last worked 1969 14. Total years 35
15. If married name of spouse Charlotte Boutilier
16. NAME of Father John James Boutilier
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Florence Watson
19. BIRTHPLACE England
20. Signature of Informant Diane Christoff
address Glace Bay
Relationship to deceased Daughter
21. Place of burial Sault Head
Date of burial February 25, 1970
22. Undertaker Pattens Funeral Home, Glace Bay
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH February 22, 1970
CAUSE OF DEATH
(a) Respiratory Failure
(b) Chronic Bronchitis
(c)
other
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