Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Brian Allison Falt death at Halifax, Halifax County on April 27, 1971
Male Death Registration: Year: 1971 number: 2995
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 002995
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
If death occured in a hospital or institution Victoria General Hospital
3. PRINT NAME OF DECEASED Falt, Brian Allison
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
German
7. Single, Married
single
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 5 3, 1947
10. AGE in Years23 Months11 Days24 | hrs or mins
11. Trade or profession Machine Operator
12. Kind of industry
13. Date last worked 1970 14. Total years
15. If married name of spouse Single
16. NAME of Father Paul Falt
17. BIRTHPLACE NS
18. NAME of Mother Lillian Brewster
19. BIRTHPLACE NS
20. Signature of Informant Paul Falt
address Petite Riviere, Lun.Co.
Relationship to deceased Father
21. Place of burial Petite Riviere, Lun. Co. NS
Date of burial April 30, 1971
22. Undertaker Charles Sweeney, Bridgewater, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH April 27, 1971
CAUSE OF DEATH
(a) Carcinoma of Testes with Metastasis
(b)
(c)
other
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