Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Alice Annie Faulkner death at Windsor, Hants County on June 17, 1971
Female Death Registration: Year: 1971 number: 4272
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 004272
1. PLACE OF DEATH County of Hants If in City or Town Windsor
If death occured in a hospital or institution Payzant Memorial Hospital
3. PRINT NAME OF DECEASED Faulkner, Alice Annie
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE Nottingham, England
9. DATE OF BIRTH 5 9, 1903
10. AGE in Years68 Months1 Days8 | hrs or mins
11. Trade or profession Housewife
12. Kind of industry
13. Date last worked 14. Total years 45 yrs
15. If married name of spouse Robert Faulkner
16. NAME of Father Francis Marriott
17. BIRTHPLACE England
18. NAME of Mother Annie Mabbott
19. BIRTHPLACE England
20. Signature of Informant Robert Faulkner
address Mt. Denson, Hants Co., NS
Relationship to deceased Husband
21. Place of burial Mt. Denson, NS
Date of burial June 19, 1971
22. Undertaker Lohnes Funeral Service Ltd., Windsor, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH June 17, 1971
CAUSE OF DEATH
(a) Diabetic Coma
(b) Diabetes
(c)
other Auricular (Atrial) Fibrillation Hypertension
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