Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Archibald John MacDougall death at Halifax, Halifax County on June 16, 1970
Male Death Registration: Year: 1970 number: 3906
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 003906
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
If death occured in a hospital or institution at home
3. PRINT NAME OF DECEASED MacDougall, Archibald John
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Scottish
7. Single, Married
widowed
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 5 10, 1881
10. AGE in Years89 Months1 Days16 | hrs or mins
11. Trade or profession Retired
12. Kind of industry Commission Merchant
13. Date last worked 14. Total years
15. If married name of spouse Elinore
16. NAME of Father Archibald J MacDougall
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Percilla Holden
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Ian MacDougal
address 6321 Pepperial St, Halifax
Relationship to deceased Nephew
21. Place of burial Hillcrest Memorial Gardens, Lr Sackville
Date of burial June 19, 1970
22. Undertaker Snow & Co, Ltd, Halifax
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH June 16, 1970
CAUSE OF DEATH
(a) Bronchopneumonia
(b)
(c)
other
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