Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Ambrose Bellefontaine death at Kentville, Kings County on December 15, 1970
Male Death Registration: Year: 1970 number: 7229
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 007229
1. PLACE OF DEATH County of Kings If in City or Town Kentville
If death occured in a hospital or institution Nova Scotia Sanitorium
3. PRINT NAME OF DECEASED Bellefontaine, Ambrose
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
French
7. Single, Married
single
8. BIRTHPLACE Chezzetcook, NS
9. DATE OF BIRTH 11 21, 1887
10. AGE in Years83 Months0 Days24 | hrs or mins
11. Trade or profession Retired
12. Kind of industry Labourer
13. Date last worked 14. Total years Life
15. If married name of spouse
16. NAME of Father
17. BIRTHPLACE
18. NAME of Mother
19. BIRTHPLACE
20. Signature of Informant Hospital Records
address Nova Scotia Sanitorium, Kentville, NS
Relationship to deceased None
21. Place of burial Mt. Olivet, Hfx
Date of burial Dec 17/70
22. Undertaker Cruikshank Funeral Home
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH December 15, 1970
CAUSE OF DEATH
(a) Myocardial Infarction
(b)
(c)
other Pulmonar Tuberculosis and Pneumonitis
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