Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Verner Boutilier death at Halifax, Halifax County on April 4, 1971
Male Death Registration: Year: 1971 number: 2589
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 002589
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
If death occured in a hospital or institution Halifax Infirmary, Halifax
3. PRINT NAME OF DECEASED Boutilier, Verner
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
French Caucasian
7. Single, Married
married
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 7 4, 1902
10. AGE in Years68 Months9 Days | hrs or mins
11. Trade or profession Johnes Motor Co.
12. Kind of industry
13. Date last worked 1967 14. Total years 40
15. If married name of spouse Alice Pettipas
16. NAME of Father Josiah Boutilier
17. BIRTHPLACE Nova Scotia
18. NAME of Mother
19. BIRTHPLACE
20. Signature of Informant Paul Pettipas
address 194 Main Ave., Halifax
Relationship to deceased Step-son
21. Place of burial Gate of Heaven Cemetery, Lr Sackville
Date of burial April 7, 1971
22. Undertaker R.D. Lindsay Funeral Home Ltd., Halifax
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH April 4, 1971
CAUSE OF DEATH
(a) Broncogenic Carcinoma
(b) Secondary Metastases
(c) Respiratory Failure
other Pulmonary Effusion; Pulmonary Embolism
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