Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Frank Theophilus Boutilier death at Halifax, Halifax County on September 26, 1970
Male Death Registration: Year: 1970 number: 5705
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 005705
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, Frank Theophilus
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
French
7. Single, Married
married
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 2 10, 1890
10. AGE in Years80 Months7 Days16 | hrs or mins
11. Trade or profession Retired
12. Kind of industry CNR
13. Date last worked 14. Total years
15. If married name of spouse Gladys Coupe
16. NAME of Father Robert Boutilier
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Elizabeth Frederick
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Cecil Boutilier
address London, Ontario
Relationship to deceased Son
21. Place of burial St. Georges, St. Margarets Bay
Date of burial September 29, 1970
22. Undertaker J. Albert Walker
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH September 26, 1970
CAUSE OF DEATH
(a) Carcinoma the blood of pancreases
(b)
(c)
other
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