Male Death Registration: Year: 1970 number: 5363
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 005363
1. PLACE OF DEATH County of Cape Breton If in City or Town Glace Bay
If death occured in a hospital or institution St. Joseph's Hospital
3. PRINT NAME OF DECEASED Boutilier, Russell
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
French
7. Single, Married
single
8. BIRTHPLACE Reserve Mines
9. DATE OF BIRTH 7 13, 1889
10. AGE in Years87 Months1 Days1 | hrs or mins
11. Trade or profession Retired Office Clerk
12. Kind of industry Coal Company
13. Date last worked 1960 14. Total years 52
15. If married name of spouse
16. NAME of Father David Boutilier
17. BIRTHPLACE Sydney Mines
18. NAME of Mother Sarah MacDonald
19. BIRTHPLACE East Bay
20. Signature of Informant Laura Boutilier
address Reserve
Relationship to deceased Sister
21. Place of burial St. Joseph's Cemetery
Date of burial August 17, 1970
22. Undertaker Curry's Funeral Home
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH August 14, 1970
CAUSE OF DEATH
(a) COA
(b)
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=490671
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