Female Death Registration: Year: 1971 number: 5982
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 005982
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
If death occured in a hospital or institution Victoria General Hospital
3. PRINT NAME OF DECEASED Boutilier, Minnie Roberta
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
single
8. BIRTHPLACE Glen Margaret, Halifax County
9. DATE OF BIRTH 9 8, 1886
10. AGE in Years85 Months1 Days2 | 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 Robert Boutilier
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Janet Marsman
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Mr. E. A. Blacom
address 8 Cherry Drive, Dartmouth, NS
Relationship to deceased Nephew
21. Place of burial Glen Margaret, Halifax Co., NS
Date of burial 12 October 1971
22. Undertaker A. L. Mattatall Funeral Service Ltd.
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH October 10, 1971
CAUSE OF DEATH
(a) Ruptured Aneurism - Abdominal Aorta
(b) Arteriosclerosis
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=498056
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