Male Death Registration: Year: 1970 number: 5960
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 005960
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, Brady
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE Mushaboom
9. DATE OF BIRTH 3 6, 1901
10. AGE in Years69 Months6 Days23 | hrs or mins
11. Trade or profession Mechanic
12. Kind of industry Pulp Mill
13. Date last worked 1969 14. Total years 23
15. If married name of spouse Annie Boutilier
16. NAME of Father David Boutilier
17. BIRTHPLACE Nova Scotia
18. NAME of Mother
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Annie Boutilier
address Sheet Harbour
Relationship to deceased wife
21. Place of burial Mushaboom
Date of burial October 1, 1970
22. Undertaker Mattatall Funeral Service
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH September 29, 1970
CAUSE OF DEATH
(a) Possible Myocardial Infraction
(b) Gangrene of legs
(c) Peripheral Arteriosclerosis
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=491268
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