Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Catherine Amelia Belliveau death at Digby, Digby County on October 31, 1971
Female Death Registration: Year: 1971 number: 6360
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 006360
1. PLACE OF DEATH County of Digby If in City or Town Digby
If death occured in a hospital or institution Digby Hospital
3. PRINT NAME OF DECEASED Belliveau, Catherine Amelia
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
French
7. Single, Married
married
8. BIRTHPLACE Belliveau Cove
9. DATE OF BIRTH 4 5, 1905
10. AGE in Years66 Months6 Days25 | hrs or mins
11. Trade or profession At Home
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse Urbain Belliveau
16. NAME of Father Edmund E. Theriault
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Amelia
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Urbain Belliveau
address Belliveau Cove, Nova Scotia
Relationship to deceased Husband
21. Place of burial St. Bernard, Digby County, Nova Scotia
Date of burial Nov. 2, 1971
22. Undertaker Weymouth Funeral Home Ltd., Box 24, Weymouth, Nova Scotia
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH October 31, 1971
CAUSE OF DEATH
(a) Acute pulmonary edema
(b) Total cardiac failure
(c)
other
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