Female Death Registration: Year: 1970 number: 6929
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 006929
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, Mary Ann
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
Scottish
7. Single, Married
married
8. BIRTHPLACE Scotland
9. DATE OF BIRTH 2 28, 1891
10. AGE in Years79 Months9 Days1 | hrs or mins
11. Trade or profession Pensioner
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse Robie Boutilier
16. NAME of Father Angus MacKinnon
17. BIRTHPLACE Scotland
18. NAME of Mother Margaret MacKinnon
19. BIRTHPLACE Scotland
20. Signature of Informant J Robie Boutilier
address Seabright
Relationship to deceased Husband
21. Place of burial Brookside Cemetery, Seabright
Date of burial Dec 2, 1970
22. Undertaker Walker's Funeral Home
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH November 29, 1970
CAUSE OF DEATH
(a) Respiratory failure
(b) Carcinoma of colon
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=492236
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