Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Sadie Beulah Boutilier death at Mahone Bay, Lunenburg County on June 2, 1971
Female Death Registration: Year: 1971 number: 4289
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 004289
1. PLACE OF DEATH County of Lunenburg If in City or Town Mahone Bay
If death occured in a hospital or institution Mahone Nursing Home
3. PRINT NAME OF DECEASED Boutilier, Sadie Beulah
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
French
7. Single, Married
widowed
8. BIRTHPLACE Mason's Island, Lunenburg County
9. DATE OF BIRTH 3 3, 1891
10. AGE in Years80 Months2 Days30 | hrs or mins
11. Trade or profession Retired Domestic
12. Kind of industry
13. Date last worked 1958 14. Total years 47 yrs
15. If married name of spouse
16. NAME of Father John Wesley Mason
17. BIRTHPLACE Mason's Island
18. NAME of Mother Eliza Pettit
19. BIRTHPLACE Heckman's Island
20. Signature of Informant J H Mason
address Mahone Bay, NS
Relationship to deceased Brother
21. Place of burial Chester, Lun. Co., NS
Date of burial June 5, 1971
22. Undertaker Mahone Funeral Home, Mahone Bay
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH June 2, 1971
CAUSE OF DEATH
(a) Cerebrovascular Accident
(b)
(c)
other
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