Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Donald Angus MacDougall death at Inverness, Inverness County on May 3, 1971
Male Death Registration: Year: 1971 number: 3324
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 003324
1. PLACE OF DEATH County of Inverness If in City or Town Inverness
If death occured in a hospital or institution St. Mary's Hospital
3. PRINT NAME OF DECEASED MacDougall, Donald Angus
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Scottish
7. Single, Married
single
8. BIRTHPLACE St. Rose, INova Scotia
9. DATE OF BIRTH 4 2, 1888
10. AGE in Years83 Months1 Days1 | hrs or mins
11. Trade or profession Carpenter
12. Kind of industry Self
13. Date last worked 1968 14. Total years 60
15. If married name of spouse
16. NAME of Father Daniel MacdDougall
17. BIRTHPLACE St. Rose, Inv. Co., NS
18. NAME of Mother Florence MacIsaac
19. BIRTHPLACE SW Margaree, NS
20. Signature of Informant Alex R. Gillis
address RR #4, Mabou, NS
Relationship to deceased Friend
21. Place of burial West Lake Ainslie, NS
Date of burial May 3, 1971
22. Undertaker Rod MacDonald Funeral Home, Port Hawkesbury, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH May 3, 1971
CAUSE OF DEATH
(a) Acute Coronary Thrombosis
(b) Arteriosclerotic Heart Disease
(c) Chronic Bronchitis
other
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