Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Max Spurgen Misner death at Halifax, Halifax County on January 6, 1970
Male Death Registration: Year: 1970 number: 1022
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 001022
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
If death occured in a hospital or institution Childrens Hospital (University Avenue)
3. PRINT NAME OF DECEASED Misner, Max Spurgen
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
German
7. Single, Married
single
8. BIRTHPLACE Bridgewater
9. DATE OF BIRTH 7 3, 1964
10. AGE in Years5 Months6 Days3 | hrs or mins
11. Trade or profession Nil Child
12. Kind of industry Child
13. Date last worked Child 14. Total years
15. If married name of spouse
16. NAME of Father Richard Misner
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Anna MacKinnon
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Richard E Misner
address P.O. Box 1377 Bridgewater
Relationship to deceased Father
21. Place of burial New Cumberland
Date of burial January 9th 1970
22. Undertaker Stan N. Walmbalk, Bridgewater
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH January 6, 1970
CAUSE OF DEATH
(a) Leukemia
(b)
(c)
other
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