Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Melissa Anne Meisner death at Windsor Forks, Hants County on June 30, 1971
Female Death Registration: Year: 1971 number: 4275
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 004275
1. PLACE OF DEATH County of Hants If in City or Town Windsor Forks
3. PRINT NAME OF DECEASED Meisner, Melissa Anne
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
single
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 11 10, 1953
10. AGE in Years17 Months7 Days20 | hrs or mins
11. Trade or profession Student
12. Kind of industry
13. Date last worked 1971 14. Total years
15. If married name of spouse
16. NAME of Father Douglas Meisner
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Rita Cook
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Rita Meisner
address East River, NS
Relationship to deceased Mother
21. Place of burial East River, NS
Date of burial July 3, 1971
22. Undertaker Davis Funeral Home, Chester, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH June 30, 1971
CAUSE OF DEATH
(a) Fracture of Cervical Vertebrae
(b) Motor Vehicle Accident
(c)
other Accident: passenger on motorcycle in collision with vehicle
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