Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Ruby May Leboutillier death at Cheticamp, Inverness County on January 2, 1971
Female Death Registration: Year: 1971 number: 1257
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 001257
1. PLACE OF DEATH County of Inverness If in City or Town Cheticamp
If death occured in a hospital or institution Sacred Heart Hospital
3. PRINT NAME OF DECEASED Leboutillier, Ruby May
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE Inverness County
9. DATE OF BIRTH 2 27, 1895
10. AGE in Years75 Months10 Days6 | 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 Bert LeBoutillier
16. NAME of Father George LeBrun
17. BIRTHPLACE Jersey, Channel Islands
18. NAME of Mother Marie Anne Billot
19. BIRTHPLACE Jersey, Channel Islands
20. Signature of Informant Herbert S. LeBoutillier
address Cheticamp
Relationship to deceased Son
21. Place of burial Cheticamp
Date of burial January 4, 1971
22. Undertaker Louis L. Chaisson & Son, Cheticamp
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH January 2, 1971
CAUSE OF DEATH
(a) Malignant Tumor of the Brain
(b)
(c)
other
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