Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
John William Faulkner death at Head of Jeddore, Halifax County on May 11, 1970
Male Death Registration: Year: 1970 number: 3628
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 003628
1. PLACE OF DEATH County of Halifax If in City or Town Head of Jeddore
3. PRINT NAME OF DECEASED Faulkner, John William
4. Sex
Male
5. Citizenship
American
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 12 5, 1898
10. AGE in Years71 Months5 Days6 | hrs or mins
11. Trade or profession Mechanic
12. Kind of industry Mill
13. Date last worked Dec 1963 14. Total years 36
15. If married name of spouse Violet Faulkner
16. NAME of Father John E. Faulkner
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Mary Faulkner
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Violet Faulkner
address Head Jeddore, Halifax Co.
Relationship to deceased Wife
21. Place of burial West Jeddore
Date of burial May 13 1970
22. Undertaker Rowlings Funeral Services, Musquodoboit Harbour
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH May 11, 1970
CAUSE OF DEATH
(a) Myocardial Infarction
(b)
(c)
other
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