Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Sarah Catherine MacDougall death at Antigonish, Antigonish County on June 4, 1970
Female Death Registration: Year: 1970 number: 3822
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 003822
1. PLACE OF DEATH County of Antigonish If in City or Town Antigonish
If death occured in a hospital or institution Lochaber Road
3. PRINT NAME OF DECEASED MacDougall, Sarah Catherine
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
Scottish
7. Single, Married
married
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 6 22, 1910
10. AGE in Years59 Months11 Days13 | hrs or mins
11. Trade or profession Housewife
12. Kind of industry Housework
13. Date last worked June 3, 1970 14. Total years life
15. If married name of spouse John MacDougall
16. NAME of Father Malcolm MacLellan
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Florence MacLellan
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Donald A Chisholm
address RR# 4, Antigonish
Relationship to deceased Son-in-law
21. Place of burial Maryvale
Date of burial 7 June 7, 1970
22. Undertaker MacIsaac Funeral Home, Antigonish
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH June 4, 1970
CAUSE OF DEATH
(a) Bronchopneumonia
(b)
(c)
other
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