Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Ellen MacDougall death at Stellarton, Pictou County on June 28, 1971
Female Death Registration: Year: 1971 number: 4573
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 004573
1. PLACE OF DEATH County of Pictou If in City or Town Stellarton
If death occured in a hospital or institution Henaut Nursing Home, Stellarton, Pictou Co., NS
3. PRINT NAME OF DECEASED MacDougall, Ellen
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
Irish
7. Single, Married
widowed
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 4 28, 1881
10. AGE in Years90 Months2 Days | hrs or mins
11. Trade or profession Housewife
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse late John William MacDougall
16. NAME of Father Patrick Foley
17. BIRTHPLACE Nova Scotia
18. NAME of Mother
19. BIRTHPLACE
20. Signature of Informant Herbert P. MacDougall
address 330 Portland St., Dartmouth, NS
Relationship to deceased Son
21. Place of burial Holy Name Cemetery, Westville, NS
Date of burial July 1, 1971
22. Undertaker Eagles Funeral Home, Westville, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH June 28, 1971
CAUSE OF DEATH
(a) Coronary Disease
(b) Arteriosclerosis
(c)
other
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