Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Duncan John Boutilier death at Sheet Harbour, Halifax County on November 19, 1970
Male Death Registration: Year: 1970 number: 6851
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 006851
1. PLACE OF DEATH County of Halifax If in City or Town Sheet Harbour
If death occured in a hospital or institution Eastern Shore Memorial Hospital
3. PRINT NAME OF DECEASED Boutilier, Duncan John
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Scottish
7. Single, Married
single
8. BIRTHPLACE Halifax County
9. DATE OF BIRTH 11 18, 1970
10. AGE in Years Months Days | 3 hrs or mins
11. Trade or profession
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse
16. NAME of Father Duncan Emmett Boutilier
17. BIRTHPLACE Halifax Co
18. NAME of Mother Eileen Francis Dahr
19. BIRTHPLACE Halifax
20. Signature of Informant Duncan Boutilier
address Sheet Harbour
Relationship to deceased Father
21. Place of burial St. Michael's Cemetery, Sheet Harbour
Date of burial Nov 20, 1970
22. Undertaker Duncan S. Crowell, Sheet Harbour
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH November 19, 1970
CAUSE OF DEATH
(a) Prematurity
(b) Birth Weight 2lbs 1oz.
(c)
other
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