Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Joseph Victor Bellefontaine death at Halifax, Halifax County on June 17, 1971
Male Death Registration: Year: 1971 number: 3974
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 003974
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
If death occured in a hospital or institution Keddy Nursing Manor (House No. 8)
3. PRINT NAME OF DECEASED Bellefontaine, Joseph Victor
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
French
7. Single, Married
married
8. BIRTHPLACE West Chezzetcook, Hfx. County Nova Scotia
9. DATE OF BIRTH 7 3, 1893
10. AGE in Years77 Months11 Days14 | hrs or mins
11. Trade or profession Retired
12. Kind of industry Longshoreman
13. Date last worked Apr 27/68 14. Total years 46
15. If married name of spouse Marie Murphy Bellefontaine
16. NAME of Father Lawrence Bellefontaine
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Pauline Fillis
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Mrs. J V Bellefontaine
address 1866 Garden St. Hfx, NS
Relationship to deceased Wife
21. Place of burial St. Anselm's Cemetery, West Chezzetcook, NS.
Date of burial June 21, 1971
22. Undertaker Halifax Funeral Home Ltd.
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH June 17, 1971
CAUSE OF DEATH
(a) coronary occlusion
(b) arteriosclerosis
(c)
other
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