Female Death Registration: Year: 1971 number: 7317
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 007317
1. PLACE OF DEATH County of Lunenburg If in City or Town Bridgewater
If death occured in a hospital or institution Dawson Memorial Hospital
3. PRINT NAME OF DECEASED Faulkenham, Laura Mae
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
German
7. Single, Married
widowed
8. BIRTHPLACE Chelsea
9. DATE OF BIRTH 7 10, 1882
10. AGE in Years89 Months5 Days12 | hrs or mins
11. Trade or profession Housewife
12. Kind of industry Housekeeping
13. Date last worked 1965 14. Total years
15. If married name of spouse Eben Faulkenham
16. NAME of Father William Garber
17. BIRTHPLACE Newcombville
18. NAME of Mother Katherine Robar
19. BIRTHPLACE Chelsea
20. Signature of Informant Earl E. Wamback
address 71 Murray Drive, Bridgewater
Relationship to deceased Daughter
21. Place of burial Bridgewater
Date of burial December 24, 1971
22. Undertaker Stan Wamback, Bridgewater
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH December 22, 1971
CAUSE OF DEATH
(a) Cerebral thrombosis
(b)
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=499389
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