Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Hazel Mildred Falconer death at Lyons Brook, Pictou County on February 7, 1971
Female Death Registration: Year: 1971 number: 1929
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 001929
1. PLACE OF DEATH County of Pictou If in City or Town Lyons Brook
If death occured in a hospital or institution Forbes Rest Home
3. PRINT NAME OF DECEASED Falconer, Hazel Mildred
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
Scottish
7. Single, Married
widowed
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 10 31, 1894
10. AGE in Years76 Months Days | hrs or mins
11. Trade or profession
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse Duncan
16. NAME of Father John Turnbull
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Jessie Urquhart
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Duncan Falconer
address 71 Willie Ave., St. John, N.B.
Relationship to deceased Son
21. Place of burial Riverton Cem. N.S.
Date of burial February 9, 1971
22. Undertaker MacQuarrie, Stellarton
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH February 7, 1971
CAUSE OF DEATH
(a) Carcinoma metastases
(b) Carcinoma colon
(c)
other
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