Male Death Registration: Year: 1971 number: 4161
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 004161
1. PLACE OF DEATH County of Halifax If in City or Town Seabright
3. PRINT NAME OF DECEASED Boutilier, Robie Lawrence
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Dutch
7. Single, Married
widowed
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 11 29, 1884
10. AGE in Years86 Months7 Days3 | hrs or mins
11. Trade or profession Retired
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse
16. NAME of Father Benjamin Boutilier
17. BIRTHPLACE NS
18. NAME of Mother Rebecca Corkum
19. BIRTHPLACE NS
20. Signature of Informant Ian Boutilier
address 5345 Glebe Street, Halifax, NS
Relationship to deceased Son
21. Place of burial Seabright Cemetery
Date of burial July 4, 1971
22. Undertaker J. Allen Walker
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH July 2, 1971
CAUSE OF DEATH
(a) Generalized Cachexia
(b) Carcinomatosis
(c) Gastric Carcinoma
other Gangrene right leg
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=496236
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