Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
David Joseph Albert Belland death at Antigonish, Antigonish County on July 20, 1971
Male Death Registration: Year: 1971 number: 4728
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 004728
1. PLACE OF DEATH County of Antigonish If in City or Town Antigonish
If death occured in a hospital or institution St. Martha's Hospital
3. PRINT NAME OF DECEASED Belland, David Joseph Albert
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
French
7. Single, Married
married
8. BIRTHPLACE Calument Island, Pontiac County, Quebec
9. DATE OF BIRTH 9 17, 1900
10. AGE in Years70 Months10 Days3 | hrs or mins
11. Trade or profession Brick Layer
12. Kind of industry Construction
13. Date last worked Retired 14. Total years Life
15. If married name of spouse Mrs. Marjorie Belland
16. NAME of Father Edward Belland
17. BIRTHPLACE Quebec
18. NAME of Mother Lucy Legault
19. BIRTHPLACE Quebec
20. Signature of Informant Ray P. Belland
address Port Hastings, NS
Relationship to deceased Son
21. Place of burial Antigonish, NS
Date of burial July 23, 1971
22. Undertaker MacIsaac Funeral Home, Antigonish, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH July 20, 1971
CAUSE OF DEATH
(a) Cerebral Hemorrhage
(b)
(c)
other
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