Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Joanne Boutilier death at Halifax, Halifax County on January 7, 1971
Female Death Registration: Year: 1971 number: 1064
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 001064
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
If death occured in a hospital or institution IWK Hosp. for Children
3. PRINT NAME OF DECEASED Boutilier, Joanne
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
Irish
7. Single, Married
single
8. BIRTHPLACE Halifax
9. DATE OF BIRTH 11 19, 1970
10. AGE in Years Months1 Days19 | hrs or mins
11. Trade or profession
12. Kind of industry Infant
13. Date last worked 14. Total years
15. If married name of spouse
16. NAME of Father Foster Boutilier
17. BIRTHPLACE
18. NAME of Mother Elizabeth Longheed
19. BIRTHPLACE
20. Signature of Informant Hfx. Welfare Dept.
address
Relationship to deceased
21. Place of burial Mount Olivet Cem., Hfx.
Date of burial January 8, 1971
22. Undertaker Snow & Co., Ltd., Halifax
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH January 7, 1971
CAUSE OF DEATH
(a) Bronchopneumonia
(b)
(c)
other
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