Male Death Registration: Year: 1970 number: 3709
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 003709
1. PLACE OF DEATH County of Cape Breton If in City or Town Sydney Mines
If death occured in a hospital or institution Harbour View Hospital, Sydney Mines
3. PRINT NAME OF DECEASED Boulter, Swinburn
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE England
9. DATE OF BIRTH 2 14, 1897
10. AGE in Years73 Months3 Days27 | hrs or mins
11. Trade or profession Miner
12. Kind of industry Coal Mining
13. Date last worked 1962 14. Total years 45
15. If married name of spouse Laura Kendall
16. NAME of Father SwiNew Brunswickurn Boulter
17. BIRTHPLACE England
18. NAME of Mother Ellen Johnson
19. BIRTHPLACE England
20. Signature of Informant Cecil Boulter
address 48A Pond St., Sydney Mines
Relationship to deceased Son
21. Place of burial Brookside Cemetery, Sydney Mines
Date of burial June 14, 1970
22. Undertaker Fillmore & Whitman Funeral Home Ltd Sydney Mines
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH June 11, 1970
CAUSE OF DEATH
(a) Asphyxia
(b) Coronary
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=489019
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