Male Death Registration: Year: 1970 number: 2520
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 002520
1. PLACE OF DEATH County of Pictou If in City or Town Riverton
If death occured in a hospital or institution Home for the Disabled
3. PRINT NAME OF DECEASED MacDougall, Wilfred Patrick
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Scottish
7. Single, Married
single
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 2 12, 1903
10. AGE in Years67 Months1 Days9 | hrs or mins
11. Trade or profession
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse
16. NAME of Father John William MacDougall
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Ellen Foley
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Herbert MacDougall
address 330 Portland St. Dartmouth
Relationship to deceased Brother
21. Place of burial Holy Name Cemetery, Westville
Date of burial March 24, 1970
22. Undertaker Eagles Funeral Home, Westville
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH March 21, 1970
CAUSE OF DEATH
(a) Myocardial Infarction
(b)
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=487832
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