Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Kelly Ann Boutilier death at Glace Bay, Cape Breton County on March 18, 1970
Female Death Registration: Year: 1970 number: 3250
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 003250
1. PLACE OF DEATH County of Cape Breton If in City or Town Glace Bay
If death occured in a hospital or institution Glace Bay General Hospital
3. PRINT NAME OF DECEASED Boutilier, Kelly Ann
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
French
7. Single, Married
single
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 3 16, 1970
10. AGE in Years Months Days2 | hrs or mins
11. Trade or profession Infant
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse
16. NAME of Father Francis Boutilier
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Gail Marie Holloway
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Edward Kublek
address Glace Bay
Relationship to deceased Grandfather
21. Place of burial St. Anne's Cemetery, Glace Bay
Date of burial 19 March 1970
22. Undertaker Curry's Funeral Home, Glace Bay
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH March 18, 1970
CAUSE OF DEATH
(a) Prematurity
(b)
(c)
other
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