Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Louise Boutilier death at Sydney, Cape Breton County on July 29, 1971
Female Death Registration: Year: 1971 number: 4920
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 004920
1. PLACE OF DEATH County of Cape Breton If in City or Town Sydney
If death occured in a hospital or institution Sydney City Hospital
3. PRINT NAME OF DECEASED Boutilier, Louise
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
French
7. Single, Married
single
8. BIRTHPLACE Cape Breton
9. DATE OF BIRTH 5 3, 1923
10. AGE in Years48 Months2 Days26 | hrs or mins
11. Trade or profession
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse
16. NAME of Father Louis Boutilier
17. BIRTHPLACE Cape Breton
18. NAME of Mother Agnes MacIntyre
19. BIRTHPLACE Cape Breton
20. Signature of Informant Louis Boutilier
address 331 19th Street, South West, Calgary, Alberta
Relationship to deceased Brother
21. Place of burial Holy Cross Cemetery, Sydney, NS
Date of burial August 1, 1971
22. Undertaker T.W. Curry, Limited, Sydney, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH July 29, 1971
CAUSE OF DEATH
(a) Hepatic Coma
(b) Cirrhosis of Liver
(c)
other
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