Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Robert Henry Boutilier death at Halifax, Halifax County on June 26, 1970
Male Death Registration: Year: 1970 number: 4017
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 004017
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
If death occured in a hospital or institution Victoria General Hospital
3. PRINT NAME OF DECEASED Boutilier, Robert Henry
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Dutch
7. Single, Married
married
8. BIRTHPLACE Bayswater
9. DATE OF BIRTH 1 19, 1913
10. AGE in Years57 Months5 Days7 | hrs or mins
11. Trade or profession Painter
12. Kind of industry
13. Date last worked 1970 14. Total years
15. If married name of spouse Gertrude Boutilier
16. NAME of Father William Boutilier
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Nadina Cleveland
19. BIRTHPLACE Nova Scotia
20. Signature of Informant George Boutilier
address RR#1, Cow Bay
Relationship to deceased son
21. Place of burial Gate of Heaven Lr Sackville
Date of burial June 29, 1970
22. Undertaker Dartmouth Funeral Home
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH June 26, 1970
CAUSE OF DEATH
(a) Myocardial Infarction
(b)
(c)
other
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