Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Victor Alfred Bellefontaine death at Eastern Passage, Halifax County on February 4, 1970
Male Death Registration: Year: 1970 number: 1862
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 001862
1. PLACE OF DEATH County of Halifax If in City or Town Eastern Passage
If death occured in a hospital or institution Ocean View Manor
3. PRINT NAME OF DECEASED Bellefontaine, Victor Alfred
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
French
7. Single, Married
widowed
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 9 25, 1889
10. AGE in Years80 Months4 Days10 | hrs or mins
11. Trade or profession Carpenter
12. Kind of industry Construction
13. Date last worked 1955 14. Total years 48 years
15. If married name of spouse
16. NAME of Father Charles Bellefontaine
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Marie
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Edward Hagen
address 37 Langley Ave., Dartmouth
Relationship to deceased Nephew
21. Place of burial West Chezzetcook
Date of burial 7 February 1970
22. Undertaker Rowlings Funeral Services, Musquodoboit Harbour, Halifax Co.
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH February 4, 1970
CAUSE OF DEATH
(a) Myocardial Ischaemia
(b)
(c)
other
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