Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Alexis Joseph Bellefontaine death at Middle Porters Lake, Halifax County on December 9, 1970
Male Death Registration: Year: 1970 number: 7676
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 007676
1. PLACE OF DEATH County of Halifax If in City or Town Middle Porters Lake
3. PRINT NAME OF DECEASED Bellefontaine, Alexis Joseph
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
French
7. Single, Married
single
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 2 10, 1895
10. AGE in Years75 Months9 Days29 | hrs or mins
11. Trade or profession Lumberman
12. Kind of industry Lumbering
13. Date last worked 1955 14. Total years 40
15. If married name of spouse
16. NAME of Father James Bellefontaine
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Mary Bellefontaine
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Frank N Romo
address Middle Porters Lake
Relationship to deceased None
21. Place of burial West Chezzetcook
Date of burial December 12, 1970
22. Undertaker Rowlings Funeral Service, Musquodoboit Harbour
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH December 9, 1970
CAUSE OF DEATH
(a) Arteriorsclerotic Heart Disease
(b)
(c)
other
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