Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Elizabeth MacDougall death at Sydney, Cape Breton County on January 7, 1970
Female Death Registration: Year: 1970 number: 1140
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 001140
1. PLACE OF DEATH County of Cape Breton If in City or Town Sydney
If death occured in a hospital or institution St. Rita Hospital, Sydney
3. PRINT NAME OF DECEASED MacDougall, Elizabeth
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
Scottish
7. Single, Married
widowed
8. BIRTHPLACE Grand Mira
9. DATE OF BIRTH 7 29, 1884
10. AGE in Years85 Months5 Days9 | hrs or mins
11. Trade or profession Housewife
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse
16. NAME of Father Alexander Gillis
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Isobel MacDougall
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Joseph MacDougall
address 145 Argyle St., Sydney
Relationship to deceased Son
21. Place of burial Resurrection Cemetery, Sydney Forks
Date of burial January 10, 1970
22. Undertaker T.W. Curry Ltd., Sydney
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH January 7, 1970
CAUSE OF DEATH
(a) Cerebral injury
(b) Shock
(c)
other
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