Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
John Duncan MacDougall death at Sydney River, Cape Breton County on October 15, 1970
Male Death Registration: Year: 1970 number: 6149
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 006149
1. PLACE OF DEATH County of Cape Breton If in City or Town Sydney River
If death occured in a hospital or institution Cape Breton Mental Hospital, Sydney River
3. PRINT NAME OF DECEASED MacDougall, John Duncan
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Scottish
7. Single, Married
single
8. BIRTHPLACE Little Judique, Inverness
9. DATE OF BIRTH 6 27, 1892
10. AGE in Years78 Months3 Days18 | 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 Hugh MacDougall
17. BIRTHPLACE Long Point
18. NAME of Mother Mary Gillis
19. BIRTHPLACE Long Point
20. Signature of Informant Mary Jeffers, R.N.
address Sydney River
Relationship to deceased Staff Nurse at C.B.H.
21. Place of burial Port Hood
Date of burial October 18, 1970
22. Undertaker Rod MacDonald Funeral Home
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH October 15, 1970
CAUSE OF DEATH
(a) Coronary infarction
(b) Arterio sclerotic cardiac disease
(c)
other Mental deficiency (imbecile)
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