Male Death Registration: Year: 1971 number: 5837
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 005837
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
3. PRINT NAME OF DECEASED Meisner, Charles Henry
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Scottish
7. Single, Married
single
8. BIRTHPLACE Prince Edward Island
9. DATE OF BIRTH 3 10, 1896
10. AGE in Years75 Months6 Days19 | hrs or mins
11. Trade or profession Retired
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse
16. NAME of Father John Meisner
17. BIRTHPLACE Prince Edward Island
18. NAME of Mother Mary Long
19. BIRTHPLACE Prince Edward Island
20. Signature of Informant Leslie Dukson
address PO Box 305, Kingston, Kings Co., NS
Relationship to deceased Nephew
21. Place of burial Fort Massey Cemetery, Halifax, NS
Date of burial 4 October 1971
22. Undertaker J. Albert Walker
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH September 29, 1971
CAUSE OF DEATH
(a) Skill fracture due to fall down stairs
(b)
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/
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