Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Willis Isaac Falkenham death at Lilydale, Lunenburg County on February 14, 1971
Male Death Registration: Year: 1971 number: 1920
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 001920
1. PLACE OF DEATH County of Lunenburg If in City or Town Lilydale
If death occured in a hospital or institution at home
3. PRINT NAME OF DECEASED Falkenham, Willis Isaac
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
German
7. Single, Married
married
8. BIRTHPLACE Lunenburg County
9. DATE OF BIRTH 6 10, 1880
10. AGE in Years90 Months8 Days3 | hrs or mins
11. Trade or profession Farmer
12. Kind of industry Farming
13. Date last worked 1950 14. Total years 45
15. If married name of spouse Emmie Falkenham
16. NAME of Father Henry Falkenham
17. BIRTHPLACE Lunenburg Co.
18. NAME of Mother Lavinia Falkenham
19. BIRTHPLACE Lunenburg Co.
20. Signature of Informant Elvin Falkenham
address RR#3 Lunenburg
Relationship to deceased Son
21. Place of burial Lunenburg
Date of burial February 17, 1971
22. Undertaker Dana L. Sweeny, Lunenburg
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH February 14, 1971
CAUSE OF DEATH
(a) Coronary thrombosis
(b) Arteriosclerosis
(c)
other
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