Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Phyllis Marie Boutilier death at Dartmouth, Halifax County on June 14, 1971
Female Death Registration: Year: 1971 number: 3928
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 003928
1. PLACE OF DEATH County of Halifax If in City or Town Dartmouth
3. PRINT NAME OF DECEASED Boutilier, Phyllis Marie
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE Halifax
9. DATE OF BIRTH 6 21, 1934
10. AGE in Years36 Months11 Days23 | hrs or mins
11. Trade or profession House duties
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse Arthur Boutilier
16. NAME of Father George Chase
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Bernice Parker
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Mr. Arthur Boutilier
address 46 Belmont Ave., Dartmouth
Relationship to deceased Husband
21. Place of burial Dartmouth Memorial Gardens, Westphal, Hfx. Co. NS
Date of burial June 16, 1971
22. Undertaker A.L. Mattatall Funeral Services Ltd., Dartmouth
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH June 14, 1971
CAUSE OF DEATH
(a) Diabetic Coma
(b) Diabetes Mellitus
(c)
other
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