Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Mary Ann Bellefontaine death at Eastern Passage, Halifax County on July 2, 1970
Female Death Registration: Year: 1970 number: 4193
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 004193
1. PLACE OF DEATH County of Halifax If in City or Town Eastern Passage
3. PRINT NAME OF DECEASED Bellefontaine, Mary Ann
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
French
7. Single, Married
widowed
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 9 15, 1892
10. AGE in Years77 Months9 Days17 | hrs or mins
11. Trade or profession Housewife
12. Kind of industry House Keeping
13. Date last worked Sept/69 14. Total years
15. If married name of spouse
16. NAME of Father Joseph Bonang
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Celeste Breau
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Christina Pirri
address Three Fathom Harbour
Relationship to deceased Sister
21. Place of burial West Chezzetcook
Date of burial July 4 1970
22. Undertaker Rowlings Funeral Service, Musquodoboit Harbour
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH July 2, 1970
CAUSE OF DEATH
(a) Myocardial Ischemia
(b) Arterosclerosis
(c)
other
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