Female Death Registration: Year: 1970 number: 4653
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 004653
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, Ethel Mae
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 12 26, 1909
10. AGE in Years60 Months7 Days4 | hrs or mins
11. Trade or profession House-wife
12. Kind of industry At home
13. Date last worked 14. Total years
15. If married name of spouse William O. Boutilier
16. NAME of Father Willis Wareham
17. BIRTHPLACE Newfoundland
18. NAME of Mother Erslet Butts
19. BIRTHPLACE Newfoundland
20. Signature of Informant Louis Bennett for George Boutilier
address 1 Willow St, Glace Bay
Relationship to deceased Son
21. Place of burial St. Mary's Anglican Cemetery (Glace Bay)
Date of burial
22. Undertaker Patten's Funeral Home Ltd, Glace Bay
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH July 30, 1970
CAUSE OF DEATH
(a) Acute Coronary Thrombosis
(b)
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=489962
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