Nova Scotia Archives

Nova Scotia Births, Marriages, and Deaths

Mary Jane Butts death at Glace Bay, Cape Breton County on October 10, 1971

Female Death Registration: Year: 1971 number: 5995

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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH

02 - 005995

1. PLACE OF DEATH   County of Cape Breton If in City or Town Glace Bay
If death occured in a hospital or institution Glace Bay General Hospital

3. PRINT NAME OF DECEASED Butts, Mary Jane

4. Sex

Female

5. Citizenship

Canadian

6. Racial Origin

English

7. Single, Married

widowed

8. BIRTHPLACE Newfoundland

9. DATE OF BIRTH 11  4, 1894

10. AGE in  Years76  Months11  Days6 | hrs or mins

11. Trade or profession At Home

12. Kind of industry

13. Date last worked       14. Total years

15. If married name of spouse Edward Butts

16. NAME of Father Joh Kelloway

17. BIRTHPLACE Newfoundland

18. NAME of Mother Jessie White

19. BIRTHPLACE Newfoundland

20. Signature of Informant George Butts

      address Third Street, Birch Grove, Cape Breton, NS

      Relationship to deceased Son

21. Place of burial Greenwood Cemetery, Glace Bay, NS

      Date of burial 13 October 1971

22. Undertaker Patten's Funeral Home Ltd. Glace Bay, NS

MEDICAL CERTIFICATE OF DEATH

23. DATE OF DEATH October 10, 1971

CAUSE OF DEATH

(a) Heart Failure

(b) Myxedema

(c)

other

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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=498069

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