Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
James McDougall death at Sydney Mines, Cape Breton County on June 7, 1971
Male Death Registration: Year: 1971 number: 3771
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 003771
1. PLACE OF DEATH County of Cape Breton If in City or Town Sydney Mines
If death occured in a hospital or institution at home
3. PRINT NAME OF DECEASED McDougall, James
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Scottish
7. Single, Married
married
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 3 2, 1909
10. AGE in Years62 Months3 Days5 | hrs or mins
11. Trade or profession Retired Watchman
12. Kind of industry Coal Company
13. Date last worked Apr/69 14. Total years 44 yrs
15. If married name of spouse Evelyn McDougall
16. NAME of Father James McDougall
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Jane Beaton
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Evelyn McDougall
address 8 Convent St., Sydney Mines
Relationship to deceased Wife
21. Place of burial St. Joseph's, Sydney Mines
Date of burial June 9, 1971
22. Undertaker George R. Francis, Sydney Mines, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH June 7, 1971
CAUSE OF DEATH
(a) Acute Myocardial Infarction
(b) Arteriosclerotic Coronary Heart Disease
(c)
other
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