Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Sarah Jane Falconer death at New Glasgow, Pictou County on October 22, 1971
Female Death Registration: Year: 1971 number: 6401
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 006401
1. PLACE OF DEATH County of Pictou If in City or Town New Glasgow
If death occured in a hospital or institution Aberdeen Hospital
3. PRINT NAME OF DECEASED Falconer, Sarah Jane
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE Magdaline Islands
9. DATE OF BIRTH 11 16, 1907
10. AGE in Years63 Months11 Days6 | hrs or mins
11. Trade or profession Housewife
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse Ernest Falconer
16. NAME of Father John MacPhail
17. BIRTHPLACE Magdaline Islands
18. NAME of Mother Helen MacLean
19. BIRTHPLACE Magdaline Islands
20. Signature of Informant Mrs. Stanley Smith
address Caribou River, Pictou Co.
Relationship to deceased Daughter
21. Place of burial Caribou River, Pictou Co.
Date of burial Oct 25, 1971
22. Undertaker McLaren Funeral Home, Pictou
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH October 22, 1971
CAUSE OF DEATH
(a) Heart failure
(b) Hypothyroid
(c)
other
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