Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Mary Colina MacDougall death at Antigonish, Antigonish County on June 12, 1971
Female Death Registration: Year: 1971 number: 3986
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 003986
1. PLACE OF DEATH County of Antigonish If in City or Town Antigonish
3. PRINT NAME OF DECEASED MacDougall, Mary Colina
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
Scottish
7. Single, Married
single
8. BIRTHPLACE Port Hood
9. DATE OF BIRTH 12 3, 1879
10. AGE in Years91 Months6 Days9 | hrs or mins
11. Trade or profession Religious
12. Kind of industry Teacher
13. Date last worked 1950 14. Total years 35
15. If married name of spouse
16. NAME of Father Allan MacDougall
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Isabel MacDonald
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Sister Doris McMullin
address Bay Street, Antigonish, NS
Relationship to deceased Sister in Religion
21. Place of burial Antigonish, NS
Date of burial June 14, 1971
22. Undertaker MacIsaac Funeral Home, Antigonish, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH June 12, 1971
CAUSE OF DEATH
(a) Fracture of Hip
(b) Arteriosclerotic Heart Disease
(c)
other Osteochondrosis
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