Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
John McDougall death at Halifax, Halifax County on March 30, 1971
Male Death Registration: Year: 1971 number: 2680
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 002680
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 McDougall, John
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Scottish/Irish
7. Single, Married
married
8. BIRTHPLACE North Sydney
9. DATE OF BIRTH 7 7, 1903
10. AGE in Years67 Months8 Days23 | hrs or mins
11. Trade or profession Retired
12. Kind of industry Labourer
13. Date last worked 1955 14. Total years Life
15. If married name of spouse Ida McDougall
16. NAME of Father Hugh McDougall
17. BIRTHPLACE Sydney, NS
18. NAME of Mother Frances Williams
19. BIRTHPLACE NS
20. Signature of Informant Mrs John McDougall
address 5571 North St. Halifax, NS
Relationship to deceased wife
21. Place of burial Shubenacadie, NS
Date of burial 1 Apr '71
22. Undertaker Ettinger Funeral Service Ltd
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH March 30, 1971
CAUSE OF DEATH
(a) Myocardial Infarction
(b)
(c)
other
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