Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Louvilla Vance Boutilier death at Sheet Harbour, Halifax County on April 21, 1971
Female Death Registration: Year: 1971 number: 3430
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 003430
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, Louvilla Vance
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
Scottish
7. Single, Married
widowed
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 3 30, 1881
10. AGE in Years90 Months Days21 | hrs or mins
11. Trade or profession Housewife
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse William
16. NAME of Father Mathew Boutilier
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Mary Elizabeth Logan
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Elmer W. Boutilier
address Mushaboom
Relationship to deceased Son
21. Place of burial Mushaboom
Date of burial 24 April 1971
22. Undertaker Duncan S. Crowell, Sheet Harbour
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH April 21, 1971
CAUSE OF DEATH
(a) Pulmonary Embolism
(b) Coronary Artery Insufficiency
(c) Senile Dementia
other Arteriosclerosis Atrophic Gastritis
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