Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Theresa Frances MacDougall death at Antigonish, Antigonish County on January 7, 1970
Female Death Registration: Year: 1970 number: 1123
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 001123
1. PLACE OF DEATH County of Antigonish If in City or Town Antigonish
If death occured in a hospital or institution St. Martha's Hospital
3. PRINT NAME OF DECEASED MacDougall, Theresa Frances
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
Scottish
7. Single, Married
married
8. BIRTHPLACE Antigonish
9. DATE OF BIRTH 1 27, 1928
10. AGE in Years41 Months11 Days11 | hrs or mins
11. Trade or profession Housewife
12. Kind of industry Housework
13. Date last worked Dec. 25/69 14. Total years 15
15. If married name of spouse Dr. Daniel A. )
16. NAME of Father John Colin Francis MacDonell
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Katherine MacNeil
19. BIRTHPLACE Nova Scotia
20. Signature of Informant D A MacDougall MD
address Box 819, Antigonish
Relationship to deceased Husband
21. Place of burial Antigonish
Date of burial Jan. 9, 1970
22. Undertaker MacIsaac Funeral Home, Antigonish
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH January 7, 1970
CAUSE OF DEATH
(a) Hodgkins Disease
(b)
(c)
other
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