Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Mary Ann MacDougall death at Sydney, Cape Breton County on April 24, 1970
Female Death Registration: Year: 1970 number: 3112
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 003112
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
3. PRINT NAME OF DECEASED MacDougall, Mary Ann
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
Scottish
7. Single, Married
widowed
8. BIRTHPLACE Soldiers Cove
9. DATE OF BIRTH 2 23, 1883
10. AGE in Years87 Months2 Days1 | 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 John MacDougall (deceased)
16. NAME of Father Alex Campbell
17. BIRTHPLACE Soldiers Cove
18. NAME of Mother Mary Corbett
19. BIRTHPLACE Barra Head
20. Signature of Informant Alex MacDonald
address St. Peters
Relationship to deceased son
21. Place of burial Barra Head R.C. Cemetery
Date of burial April 26 1970
22. Undertaker Alex Morrison
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH April 24, 1970
CAUSE OF DEATH
(a) Pulmonary Edema
(b) Atrial fibrillation
(c) congestive heart failure
other Uremia
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