Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Donald Allan MacDougall death at Yarmouth, Yarmouth County on January 30, 1970
Male Death Registration: Year: 1970 number: 1545
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 001545
1. PLACE OF DEATH County of Yarmouth If in City or Town Yarmouth
If death occured in a hospital or institution Yarmouth Hospital
3. PRINT NAME OF DECEASED MacDougall, Donald Allan
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
African
7. Single, Married
married
8. BIRTHPLACE Yarmouth
9. DATE OF BIRTH 6 19, 1906
10. AGE in Years63 Months7 Days11 | hrs or mins
11. Trade or profession Cook
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse Alice MacDougall
16. NAME of Father Charles MacDougall
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Elizabeth Kelley
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Mrs. Alice MacDougall
address 202 Main St, Yarmouth
Relationship to deceased Wife
21. Place of burial Yarmouth
Date of burial Feb 3, 1970
22. Undertaker Sweeny Funeral Home
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH January 30, 1970
CAUSE OF DEATH
(a) Carcinoma of left kidney
(b)
(c)
other Metastatic spread
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