Male Death Registration: Year: 1971 number: 7198
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 007198
1. PLACE OF DEATH County of Cumberland If in City or Town Prospect
3. PRINT NAME OF DECEASED Falkenham, Sidney Roland
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Dutch
7. Single, Married
divorced
8. BIRTHPLACE Parrsboro
9. DATE OF BIRTH 9 21, 1919
10. AGE in Years52 Months2 Days7 | hrs or mins
11. Trade or profession Contract Truck and Backhoe Operator
12. Kind of industry Construction/Excavating
13. Date last worked Nov 25/1971 14. Total years 30 Years
15. If married name of spouse Dora Dewitt Fuller
16. NAME of Father Charles Whitford Falkenham
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Gertrude Olive Smith
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Eldon Falkenham
address Parrsboro Nova Scotia
Relationship to deceased Son
21. Place of burial Parrsboro Nova Scotia
Date of burial Dec 16 1971
22. Undertaker A.H.Brown Funeral Service
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH November 28, 1971
CAUSE OF DEATH
(a) Coronary Thrombosis
(b)
(c)
other Conducted an inquiry into his death on Dec 13 1971
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=499270
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