Nova Scotia Archives

Nova Scotia Births, Marriages, and Deaths

Charles Henry Meisner death at Halifax, Halifax County on September 29, 1971

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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