Female Death Registration: Year: 1971 number: 3919
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 003919
1. PLACE OF DEATH County of Halifax If in City or Town Musquodoboit Harbour
If death occured in a hospital or institution Twin Oaks Memorial Hospital
3. PRINT NAME OF DECEASED Faulkner, Sarah Ann
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
Scottish
7. Single, Married
married
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 10 6, 1895
10. AGE in Years75 Months7 Days | hrs or mins
11. Trade or profession Housewife
12. Kind of industry Housekeeping
13. Date last worked March 10/71 14. Total years 53
15. If married name of spouse Fredrick Faulkner
16. NAME of Father Alexander MacIntyre
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Christine Walker
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Fredrick Faulkner
address West Jeddore
Relationship to deceased Husband
21. Place of burial West Jeddore
Date of burial May 9, 1971
22. Undertaker Rowlings Funeral Service, Musquodoboit Harbour
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH May 6, 1971
CAUSE OF DEATH
(a) Carcinoma Liver
(b) Carcinoma Lung
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=495995
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