Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Helen Jean MacDougall death at Sydney, Cape Breton County on February 5, 1971
Female Death Registration: Year: 1971 number: 1730
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 001730
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, Helen Jean
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
Scottish
7. Single, Married
widowed
8. BIRTHPLACE Hazel Hill, Guys. County
9. DATE OF BIRTH 10 7, 1898
10. AGE in Years72 Months3 Days29 | hrs or mins
11. Trade or profession House duties
12. Kind of industry at home
13. Date last worked 1965 14. Total years 54
15. If married name of spouse
16. NAME of Father Rufus MacKenzie
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Alice Oliver
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Laughlin MacDougall
address Port Hastings
Relationship to deceased Son
21. Place of burial Inverness
Date of burial February 5, 1971
22. Undertaker Rod MacDonald Funeral Homes
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH February 5, 1971
CAUSE OF DEATH
(a) Influenza
(b) Congest. failure Emphysema
(c)
other
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