Male Death Registration: Year: 1971 number: 3123
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 003123
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
If death occured in a hospital or institution Victoria General Hospital
3. PRINT NAME OF DECEASED McDougall, Donald
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Scottish
7. Single, Married
married
8. BIRTHPLACE Main-A-Dieu
9. DATE OF BIRTH 3 30, 1918
10. AGE in Years53 Months1 Days3 | hrs or mins
11. Trade or profession Commissionaire
12. Kind of industry Atlantic Command
13. Date last worked May 1, 1971 14. Total years 3 yrs
15. If married name of spouse Sarah McDougall
16. NAME of Father Colin McDougall
17. BIRTHPLACE NS
18. NAME of Mother Mary Shaw
19. BIRTHPLACE NS
20. Signature of Informant Mrs. Sarah McDougall
address 6179 Pepperell St., Halifax
Relationship to deceased Wife
21. Place of burial Main-A-Dieu
Date of burial May 4, 1971
22. Undertaker Halifax Funeral Home
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH May 2, 1971
CAUSE OF DEATH
(a) Myocardial Infarction
(b)
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=495199
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