Female Death Registration: Year: 1971 number: 3963
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 003963
1. PLACE OF DEATH County of Shelburne If in City or Town Sandy Point
If death occured in a hospital or institution Roseway Hospital
3. PRINT NAME OF DECEASED Meisner, Annie
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
widowed
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 4 8, 1887
10. AGE in Years84 Months2 Days7 | hrs or mins
11. Trade or profession Housewife
12. Kind of industry
13. Date last worked 1969 14. Total years 52 yrs
15. If married name of spouse Mr. William Meisner
16. NAME of Father Benjamin McNutt
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Sofina Hiltz
19. BIRTHPLACE Nova Scotia
20. Signature of Informant James Meisner
address East Green Harbour, NS
Relationship to deceased Son
21. Place of burial East Green Harbour, NS
Date of burial June 17, 1971
22. Undertaker Huskilson's Funeral Home , Lockeport, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH June 15, 1971
CAUSE OF DEATH
(a) Cerebrovascular Accident
(b) Arteriosclerosis
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=496039
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