Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Fredrick Bellefontaine death at Halifax, Halifax County on November 2, 1970
Male Death Registration: Year: 1970 number: 6414
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 006414
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
If death occured in a hospital or institution Fairview Villa Retirement Home
3. PRINT NAME OF DECEASED Bellefontaine, Fredrick
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
French
7. Single, Married
widowed
8. BIRTHPLACE Halifax
9. DATE OF BIRTH 9 8, 1908
10. AGE in Years62 Months1 Days25 | hrs or mins
11. Trade or profession Painter
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse
16. NAME of Father Bellefontaine
17. BIRTHPLACE Nova Scotia
18. NAME of Mother
19. BIRTHPLACE
20. Signature of Informant Ernest Bellefontaine
address 14 Booth Street, Dartmouth
Relationship to deceased Son
21. Place of burial Gate of Heaven, Lower Sackville
Date of burial November 4, 1970
22. Undertaker Snow & Co. Ltd., Halifax
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH November 2, 1970
CAUSE OF DEATH
(a) Bronchogenic Carcinoma
(b)
(c)
other
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