Male Death Registration: Year: 1970 number: 3497
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 003497
1. PLACE OF DEATH County of Halifax If in City or Town Dartmouth
If death occured in a hospital or institution Nova Scotia Hospital
3. PRINT NAME OF DECEASED Faulkner, Victor Monson
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Scottish
7. Single, Married
married
8. BIRTHPLACE Noel
9. DATE OF BIRTH 6 30, 1897
10. AGE in Years72 Months10 Days4 | hrs or mins
11. Trade or profession Unemployed
12. Kind of industry Farming
13. Date last worked 1950 14. Total years Life
15. If married name of spouse Elsie Faulkner
16. NAME of Father Robert Faulkner
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Victoria O'Brien
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Mrs. Victor Faulkner
address Noel
Relationship to deceased Wife
21. Place of burial Burntcoat
Date of burial 8 May , 1970
22. Undertaker Ettinger Funeral Service Ltd., Shubenacadie
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH May 5, 1970
CAUSE OF DEATH
(a)
(b)
(c) Parkinsonism
other Exhaustion, Demetia Senile
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=488807
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