Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Samuel David Falconer death at Caribou River, Pictou County on October 6, 1971
Male Death Registration: Year: 1971 number: 6047
Click to view and save (right-click) each image above for free or contact us to Buy certified paper copies. | Send a correction
Click to view and save (right-click) each image above for free or contact us to Buy certified paper copies. | Send a correction
note: transcription publicly contributed - please contact us with comments, errors or omisions
PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 006047
1. PLACE OF DEATH County of Pictou If in City or Town Caribou River
If death occured in a hospital or institution Caribou River, NS
3. PRINT NAME OF DECEASED Falconer, Samuel David
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Scottish
7. Single, Married
married
8. BIRTHPLACE Caribou River, Pictou County
9. DATE OF BIRTH 3 5, 1890
10. AGE in Years81 Months7 Days1 | hrs or mins
11. Trade or profession retired farmer and fisherman
12. Kind of industry dairy and lobster
13. Date last worked 1961 14. Total years approx. 50 years
15. If married name of spouse Bessie Falconer
16. NAME of Father John Falconer
17. BIRTHPLACE Caribou River, NS
18. NAME of Mother Rachel Taylor
19. BIRTHPLACE East River St. Mary's, Guysborough Co., NS
20. Signature of Informant John R. Falconer
address Pictou RR #3, NS
Relationship to deceased son
21. Place of burial Caribou River, NS
Date of burial Oct 8, 1971
22. Undertaker MacLeod's Funeral Service River John , NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH October 6, 1971
CAUSE OF DEATH
(a) acute coronary occlusion
(b)
(c)
other
Keyword Search looks for the "term" (one word or number works best) you type throughout the whole record. It is less accurate than the advanced search but it does let you search for age, religion, mother's maiden name, etc. if transcribed.