Female Death Registration: Year: 1970 number: 5723
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 005723
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, Sarah
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
widowed
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 6 10, 1892
10. AGE in Years73 Months3 Days1 | hrs or mins
11. Trade or profession Widow
12. Kind of industry At Home
13. Date last worked 14. Total years
15. If married name of spouse William Boutilier
16. NAME of Father Anthony Murrant
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Margaret Campbell
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Farel Patten for Sidney Boutilier
address Port Caledonia
Relationship to deceased Son
21. Place of burial Port Caledonia
Date of burial September 14, 1970
22. Undertaker Pattens Funeral Home Ltd. Glace Bay
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH September 11, 1970
CAUSE OF DEATH
(a) Coronary Occlusion
(b)
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=491031
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