Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
William Daniel MacDougall death at Halifax, Halifax County on June 19, 1971
Male Death Registration: Year: 1971 number: 3849
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 003849
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
If death occured in a hospital or institution Police Station
3. PRINT NAME OF DECEASED MacDougall, William Daniel
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Scottish
7. Single, Married
single
8. BIRTHPLACE United States
9. DATE OF BIRTH 5 21, 1934
10. AGE in Years37 Months Days29 | hrs or mins
11. Trade or profession Cook
12. Kind of industry Cooking
13. Date last worked June 11/71 14. Total years 15
15. If married name of spouse
16. NAME of Father Daniel MacDougall
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Hilda Colford
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Mrs. Marion Shannon
address 6191 Leeds St. Halifax, NS
Relationship to deceased Aunt
21. Place of burial East Chezzetcook, NS
Date of burial June 21, 1971
22. Undertaker Rowlings Funeral Service, Musquodoboit Harbour, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH June 19, 1971
CAUSE OF DEATH
(a) Coronary Occlusion
(b) Arteriosclerosis
(c) Hemorrhagic Gastritis
other Died in police cell
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