Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Coleen Mary Boutilier death at Glace Bay, Cape Breton County on January 16, 1971
Female Death Registration: Year: 1971 number: 1565
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 001565
1. PLACE OF DEATH County of Cape Breton If in City or Town Glace Bay
If death occured in a hospital or institution St Joseph's Hospital
3. PRINT NAME OF DECEASED Boutilier, Coleen Mary
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
French
7. Single, Married
single
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 1 16, 1971
10. AGE in Years Months Days | 8 hrs or 50 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 Colin F Boutilier
17. BIRTHPLACE Nova Scotia, Canada
18. NAME of Mother Sylvia White
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Colin F Boutilier
address Centreville, Reserve Mines, NS
Relationship to deceased Father
21. Place of burial St Joseph's Cemetery
Date of burial January 18, 1971
22. Undertaker Curry's Funeral Home
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH January 16, 1971
CAUSE OF DEATH
(a) Premature Birth
(b) Abruptio Placentae
(c)
other
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