Male Death Registration: Year: 1971 number: 2129
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 002129
1. PLACE OF DEATH County of Cape Breton If in City or Town New Waterford
If death occured in a hospital or institution New Waterford Hospital
3. PRINT NAME OF DECEASED Butts, Charles Thomas
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
single
8. BIRTHPLACE New Waterford
9. DATE OF BIRTH 8 11, 1970
10. AGE in Years Months6 Days10 | hrs or mins
11. Trade or profession child
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse
16. NAME of Father Patrick Butts
17. BIRTHPLACE New Waterford, NS
18. NAME of Mother Roseline Day
19. BIRTHPLACE Dominion, Cape Breton, NS
20. Signature of Informant Patrick Butts
address 9 James St, New Waterford, NS
Relationship to deceased father
21. Place of burial St Agnes Cemetery, New Waterford, NS
Date of burial Feb 23, 1971
22. Undertaker VJ McGillivray Funeral Homes Limited, New Waterford, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH February 21, 1971
CAUSE OF DEATH
(a) unj & uraemia (?)
(b) (illegible)
(c)
other Hyperpyrexia
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=494206
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