Male Death Registration: Year: 1970 number: 4448
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 004448
1. PLACE OF DEATH County of Halifax If in City or Town Musquodobit Harbour
If death occured in a hospital or institution Twin Oaks Memorial Hospital
3. PRINT NAME OF DECEASED Faulkner, George Addington
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 8 18, 1891
10. AGE in Years78 Months9 Days13 | hrs or mins
11. Trade or profession Carpenter
12. Kind of industry Building
13. Date last worked Oct 1969 14. Total years 40
15. If married name of spouse Myrtle Rebecca Faulkner
16. NAME of Father George Faulkner
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Lamina Harnish
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Mrs George Faulkner
address RR 1, Head Jeddore
Relationship to deceased Wife
21. Place of burial Head Jeddore
Date of burial June 3 1970
22. Undertaker Rowlings Funeral Service, Musquodoboit Harbour
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH May 31, 1970
CAUSE OF DEATH
(a) Pneumonia
(b) cerebral ischemia
(c)
other Diabetes
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=489757
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