Nova Scotia Archives

Nova Scotia Births, Marriages, and Deaths

John Michael Butler death at Sheet Harbour, Halifax County on August 30, 1971

Male Death Registration: Year: 1971 number: 5264

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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH

02 - 005264

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 Butler, John Michael

4. Sex

Male

5. Citizenship

Canadian

6. Racial Origin

Irish

7. Single, Married

widowed

8. BIRTHPLACE Nova Scotia

9. DATE OF BIRTH 1  10, 1889

10. AGE in  Years82  Months7  Days20 | hrs or mins

11. Trade or profession Retired

12. Kind of industry Scott Paper Co

13. Date last worked 1960       14. Total years 48

15. If married name of spouse Nettie (Deceased)

16. NAME of Father Michael Butler

17. BIRTHPLACE Nova Scotia

18. NAME of Mother Sadie Stephens

19. BIRTHPLACE Nova Scotia

20. Signature of Informant Mrs Margaret Field

      address Sheet Harbour

      Relationship to deceased Daughter

21. Place of burial Sheet Harbour

      Date of burial Sept 2, 1971

22. Undertaker Duncan Crowell, PO Box 14, Sheet Harbour

MEDICAL CERTIFICATE OF DEATH

23. DATE OF DEATH August 30, 1971

CAUSE OF DEATH

(a) Broncho Pneumonia

(b) Congestive Cardiac Failure

(c)

other Obstructive Jaundice

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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=497338

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