Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Michael Boutilier death at Sydney Mines, Cape Breton County on April 13, 1971
Male Death Registration: Year: 1971 number: 2746
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 002746
1. PLACE OF DEATH County of Cape Breton If in City or Town Sydney Mines
If death occured in a hospital or institution Harbour View Hospital, Sydney Mines
3. PRINT NAME OF DECEASED Boutilier, Michael
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
French
7. Single, Married
married
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 11 12, 1907
10. AGE in Years63 Months5 Days1 | hrs or mins
11. Trade or profession Miner
12. Kind of industry
13. Date last worked 1969 14. Total years 47
15. If married name of spouse Mrs Annie Miller
16. NAME of Father Alexander Boutilier
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Mary MacIntyre
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Mrs Annie Miller
address 219 Main Street, Sydney Mines
Relationship to deceased Wife
21. Place of burial St Joseph's, Sydney Mines
Date of burial April 16, 1971
22. Undertaker George R Francis, Sydney Mines
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH April 13, 1971
CAUSE OF DEATH
(a) Myocardial Infarction
(b)
(c)
other
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