Nova Scotia Archives

Nova Scotia Births, Marriages, and Deaths

Gary Curtis Butcher death at Pugwash, Cumberland County on September 19, 1971

Male Death Registration: Year: 1971 number: 5897

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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH

02 - 005897

1. PLACE OF DEATH   County of Cumberland If in City or Town Pugwash
If death occured in a hospital or institution Sunset Nursing Home

3. PRINT NAME OF DECEASED Butcher, Gary Curtis

4. Sex

Male

5. Citizenship

Canadian

6. Racial Origin

English

7. Single, Married

single

8. BIRTHPLACE Nova Scotia

9. DATE OF BIRTH 1  3, 1944

10. AGE in  Years27  Months8  Days16 | 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 Wilfred Butcher

17. BIRTHPLACE Nova Scotia

18. NAME of Mother Jessie Dean

19. BIRTHPLACE Nova Scotia

20. Signature of Informant Mrs. Wilfred Butcher

      address Upper Stewiacke, NS

      Relationship to deceased Mother

21. Place of burial Riverside Cemetery, Upper Stewiacke, Colchester Co., NS

      Date of burial 22 September 1971

22. Undertaker Mattatall Funeral Home, Truro, NS

MEDICAL CERTIFICATE OF DEATH

23. DATE OF DEATH September 19, 1971

CAUSE OF DEATH

(a) Myocardial Infarction

(b)

(c)

other Mental Degeneration

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