Nova Scotia Archives

Nova Scotia Births, Marriages, and Deaths

Harris Edmund Boutilier death at Porter's Lake, Halifax County on December 18, 1970

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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