Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Robert Augustine MacDougall death at Sydney, Cape Breton County on December 28, 1970
Male Death Registration: Year: 1970 number: 7436
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 007436
1. PLACE OF DEATH County of Cape Breton If in City or Town Sydney
If death occured in a hospital or institution Spring Garden Villa
3. PRINT NAME OF DECEASED MacDougall, Robert Augustine
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Scottish
7. Single, Married
married
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 8 5, 1942
10. AGE in Years28 Months4 Days23 | hrs or mins
11. Trade or profession Welfare Worker
12. Kind of industry Welfare Department
13. Date last worked February 1968 14. Total years 4
15. If married name of spouse Suzanne MacDougall
16. NAME of Father James MacDougall
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Mary MacKinnon
19. BIRTHPLACE Nova Scotia
20. Signature of Informant James MacDougall
address 8 Convent St. Sydney Mines
Relationship to deceased Father
21. Place of burial St. Joseph's, Sydney Mines
Date of burial December 31, 1970
22. Undertaker George R. Francis, Sydney Mines
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH December 28, 1970
CAUSE OF DEATH
(a) Terminal Brochopneumonia
(b) Multiple Sclerosis
(c)
other
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