Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Jane Faulkner death at Eastern Passage, Halifax County on April 6, 1970
Female Death Registration: Year: 1970 number: 2545
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 002545
1. PLACE OF DEATH County of Halifax If in City or Town Eastern Passage
If death occured in a hospital or institution Ocean View Manor
3. PRINT NAME OF DECEASED Faulkner, Jane
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
Scottish
7. Single, Married
widowed
8. BIRTHPLACE Halifax
9. DATE OF BIRTH 8 1, 1885
10. AGE in Years84 Months8 Days5 | hrs or mins
11. Trade or profession Housewife
12. Kind of industry At Home
13. Date last worked January 1966 14. Total years Life
15. If married name of spouse
16. NAME of Father Charles Chisholm
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Annie Bower
19. BIRTHPLACE Nova Scotia
20. Signature of Informant JN Lynch
address Ocean View Manor, Eastern Passage
Relationship to deceased
21. Place of burial Eastern Passage
Date of burial April 8, 1970
22. Undertaker Dartmouth Funeral Home E. A. McDonald
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH April 6, 1970
CAUSE OF DEATH
(a) Myocardial Infarction
(b)
(c)
other
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