Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
William Edmund Boutilier death at Sheet Harbour, Halifax County on April 3, 1971
Male Death Registration: Year: 1971 number: 2775
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 002775
1. PLACE OF DEATH County of Halifax If in City or Town Sheet Harbour
If death occured in a hospital or institution Eastern Shore Memorial Hospital
3. PRINT NAME OF DECEASED Boutilier, William Edmund
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
french
7. Single, Married
married
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 11 16, 1877
10. AGE in Years93 Months4 Days18 | hrs or mins
11. Trade or profession fisherman
12. Kind of industry self employed
13. Date last worked 1961 14. Total years 69 yrs
15. If married name of spouse Louvilla Boutilier
16. NAME of Father William Boutilier
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Caroline Hubley
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Elme W Boutilier
address Mushaboom
Relationship to deceased Son
21. Place of burial Mushaboom
Date of burial April 6, 1971
22. Undertaker Duncan S Crowell, Sheet Harbour
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH April 3, 1971
CAUSE OF DEATH
(a) Cessation of Heart
(b) Coronary Heart Disease
(c) Arteriosclerosis
other Bronchitis Diverticulitis
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