Female Death Registration: Year: 1971 number: 1550
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 001550
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
If death occured in a hospital or institution Halifax Infirmary
3. PRINT NAME OF DECEASED Boutilier, Annie
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
widowed
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 12 8, 1887
10. AGE in Years83 Months2 Days0 | hrs or mins
11. Trade or profession
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse
16. NAME of Father George Milley
17. BIRTHPLACE NS
18. NAME of Mother Mary Barrie
19. BIRTHPLACE NS
20. Signature of Informant T E Gully (Atlantic Trust Co)
address Po Box 2224 Hfx
Relationship to deceased
21. Place of burial Lr Sackville, NS Hillcrest Mem. Gardens
Date of burial Feb 11 1971
22. Undertaker Snow & Co Ltd
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH February 8, 1971
CAUSE OF DEATH
(a) ?
(b) perforated gastric ulcer
(c) Hematemesis
other Fibroid Uterus
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=493628
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