Female Death Registration: Year: 1971 number: 1034
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 001034
1. PLACE OF DEATH County of Halifax If in City or Town Cole Harbour
If death occured in a hospital or institution Halifax County Hospital
3. PRINT NAME OF DECEASED Butler, Nettie Alice
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
Dutch
7. Single, Married
married
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 10 30, 1883
10. AGE in Years87 Months2 Days4 | hrs or mins
11. Trade or profession Retired
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse John Butler, Sheet Harbour
16. NAME of Father Mathew Boutilier
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Mary Langen
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Mrs. Magaret Fields
address Mushaboom, Halifax County
Relationship to deceased Daughter
21. Place of burial Watt Section
Date of burial January 6, 1971
22. Undertaker Mattatall Funeral Ser. Ltd., Dartmouth
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH January 4, 1971
CAUSE OF DEATH
(a) Myocardial infarction
(b) atheroscleratic heart disease
(c)
other chronic brain syndrome
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=493112
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