Male Death Registration: Year: 1971 number: 1418
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 001418
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
If death occured in a hospital or institution Camp Hill Hospital
3. PRINT NAME OF DECEASED Butts, Richard Joseph
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Irish
7. Single, Married
married
8. BIRTHPLACE Sydney
9. DATE OF BIRTH 3 20, 1905
10. AGE in Years65 Months10 Days10 | hrs or mins
11. Trade or profession Buyer
12. Kind of industry Simpson Sears Ltd.
13. Date last worked June 1969 14. Total years 20
15. If married name of spouse Mona MacGillivray
16. NAME of Father Robert Butts
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Bertha Rochett
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Don Smith
address 26 Devon Cres., Halifax
Relationship to deceased Son-in-law
21. Place of burial Gate of Heaven, Lr. Sackville
Date of burial February 2, 1971
22. Undertaker Halifax Funeral Home Ltd., Halifax
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH January 30, 1971
CAUSE OF DEATH
(a) Cerebro-Vascular Accident
(b) Hypertension
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=493496
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