Male Death Registration: Year: 1970 number: 6967
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 006967
1. PLACE OF DEATH County of Cumberland If in City or Town Amherst
If death occured in a hospital or institution Highland View Hospital
3. PRINT NAME OF DECEASED Belliveau, James Edgar
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
French
7. Single, Married
married
8. BIRTHPLACE Joggins
9. DATE OF BIRTH 11 15, 1904
10. AGE in Years65 Months11 Days14 | hrs or mins
11. Trade or profession Retired Coal Mine official & fisherman
12. Kind of industry
13. Date last worked to date 14. Total years life
15. If married name of spouse Marion M Belliveau
16. NAME of Father Thomas Belliveau
17. BIRTHPLACE Westworeland County, New Brunswick
18. NAME of Mother |Annie LeBlanc
19. BIRTHPLACE Cumberland County
20. Signature of Informant Donald J Belliveau
address Joggins
Relationship to deceased Son
21. Place of burial Ragged Reef
Date of burial Nov 1 1970
22. Undertaker Furlong's Funeral Home Ltd, Amherst
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH October 29, 1970
CAUSE OF DEATH
(a) Aspiration of Vomitus
(b) Metastic carcinoma of Peritoneum and Liver
(c) Sarcoma in Retro peritoneal Tissues
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=492274
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