Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Paul Roger Belanger death at Halifax, Halifax County on October 25, 1970
Male Death Registration: Year: 1970 number: 6507
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 006507
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
If death occured in a hospital or institution Izaak Walton Killam Hosp.
3. PRINT NAME OF DECEASED Belanger, Paul Roger
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
french
7. Single, Married
single
8. BIRTHPLACE New Brunswick
9. DATE OF BIRTH 10 1, 1970
10. AGE in Years Months Days24 | hrs or mins
11. Trade or profession
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse
16. NAME of Father Louis Belanger
17. BIRTHPLACE New Brunswick
18. NAME of Mother
19. BIRTHPLACE
20. Signature of Informant Louis Belanger
address 25 Church St., Edmundston New Brunswick
Relationship to deceased father
21. Place of burial Edmundston New Brunswick
Date of burial Oct. 25, 1970
22. Undertaker Halifax Funeral Home Ltd.
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH October 25, 1970
CAUSE OF DEATH
(a) congenital heart disease
(b)
(c)
other
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