Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Mary Vetaline Bellefontaine death at Musquodoboit Harbour, Halifax County on July 28, 1971
Female Death Registration: Year: 1971 number: 5370
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 005370
1. PLACE OF DEATH County of Halifax If in City or Town Musquodoboit Harbour
If death occured in a hospital or institution Twin Oak Memorial Hospital
3. PRINT NAME OF DECEASED Bellefontaine, Mary Vetaline
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
French
7. Single, Married
married
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 7 5, 1890
10. AGE in Years81 Months Days21 | hrs or mins
11. Trade or profession Housewife
12. Kind of industry Housekeeping
13. Date last worked Jan 1971 14. Total years 50
15. If married name of spouse Luke Bellefontaine
16. NAME of Father Robert Wolfe
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Vetaline LaPierre
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Mrs. Dora Butcher
address 67 Enfield Ave., Toronto
Relationship to deceased Daughter
21. Place of burial West Chezzetcook
Date of burial July 29. 1971
22. Undertaker Rowlings Funeral Service, Musquodoboit Harbour, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH July 28, 1971
CAUSE OF DEATH
(a) Carcinoma Submandibular gland with Metastases
(b)
(c)
other
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