Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Hazel Stella Falkenham death at Halifax, Halifax County on January 20, 1971
Female Death Registration: Year: 1971 number: 1201
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 001201
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
If death occured in a hospital or institution Civic Hospital
3. PRINT NAME OF DECEASED Falkenham, Hazel Stella
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
Anglo-Saxon
7. Single, Married
married
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 3 14, 1917
10. AGE in Years53 Months10 Days6 | hrs or mins
11. Trade or profession at home
12. Kind of industry
13. Date last worked 1970 14. Total years 35
15. If married name of spouse Ernest Falkenham
16. NAME of Father Axmonth Davison
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Lottie Stivers
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Ernest Falkenham
address Barss Corner, R.R.1
Relationship to deceased Husband
21. Place of burial Parkdale
Date of burial January 22, 1971
22. Undertaker Langille's Funeral Home, Barss Corner
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH January 20, 1971
CAUSE OF DEATH
(a) Cardiac failure
(b) Massive oedema
(c) Carcinoma breast
other
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