Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Arthur Ernest Faulkner death at Kentville, Kings County on August 16, 1971
Male Death Registration: Year: 1971 number: 5054
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 005054
1. PLACE OF DEATH County of Kings If in City or Town Kentville
If death occured in a hospital or institution Nova Scotia Sanatorium
3. PRINT NAME OF DECEASED Faulkner, Arthur Ernest
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Irish
7. Single, Married
married
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 10 4, 1904
10. AGE in Years66 Months10 Days12 | hrs or mins
11. Trade or profession Retired Millwright
12. Kind of industry
13. Date last worked Nov/70 14. Total years 39
15. If married name of spouse Mildred Faulkner
16. NAME of Father Fred Faulkner
17. BIRTHPLACE NS
18. NAME of Mother Margaret Kehoe
19. BIRTHPLACE NS
20. Signature of Informant Records from Chart
address Nova Scotia Sanatorium
Relationship to deceased
21. Place of burial Hantsport, NS
Date of burial Aug 19, 1971
22. Undertaker Lohnes Funeral Service Limited, Windsor, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH August 16, 1971
CAUSE OF DEATH
(a) Bronchogenic Carcinoma
(b)
(c)
other
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