Male Death Registration: Year: 1970 number: 7243
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 007243
1. PLACE OF DEATH County of Halifax If in City or Town Porter's Lake
If death occured in a hospital or institution at home
3. PRINT NAME OF DECEASED Boutilier, Harris Edmund
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE Mushaboom, Hfx. Co. NS
9. DATE OF BIRTH 9 30, 1930
10. AGE in Years40 Months2 Days18 | hrs or mins
11. Trade or profession Truck Driver
12. Kind of industry Oil Delivery
13. Date last worked 1970 14. Total years 10 yrs
15. If married name of spouse Gloria Bouilier
16. NAME of Father William Boutilier
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Vernia Jennex
19. BIRTHPLACE Nova Scotia
20. Signature of Informant William Boutilier
address 36 Bonnie Brae Trailer Court, Dartmouth
Relationship to deceased Brother
21. Place of burial Hillcrest Memorial Gardens, Lr Sackville
Date of burial Dec 21, 1970
22. Undertaker Mattatall Funeral Home, Dartmouth, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH December 18, 1970
CAUSE OF DEATH
(a) Conflagration
(b)
(c)
other Accident - Trapped in Burning Home
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=492549
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