Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Annie Frances Faulkner death at Halifax, Halifax County on June 10, 1971
Female Death Registration: Year: 1971 number: 3750
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 003750
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
If death occured in a hospital or institution Willow Nursing Home
3. PRINT NAME OF DECEASED Faulkner, Annie Frances
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
Irish
7. Single, Married
widowed
8. BIRTHPLACE Halifax
9. DATE OF BIRTH 3 22, 1900
10. AGE in Years71 Months2 Days18 | hrs or mins
11. Trade or profession Retired
12. Kind of industry House Duties
13. Date last worked 14. Total years
15. If married name of spouse
16. NAME of Father William Kelly
17. BIRTHPLACE Ireland
18. NAME of Mother Elizabeeth O'Donald
19. BIRTHPLACE Ireland
20. Signature of Informant Clyde Faulkner
address 44 Fenwick St., Dartmouth, NS
Relationship to deceased Son
21. Place of burial Hillcrest Memorial Gardens, Lr. Sackville
Date of burial June 12, 1971
22. Undertaker A L Mattatall Funeral Service Ltd., Dartmouth
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH June 10, 1971
CAUSE OF DEATH
(a) Cerebral Thrombosis - Recurrent
(b) Arteriosclerosis
(c)
other Diabetes Mellitus
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