Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Mary Catherine MacDougall death at Glace Bay, Cape Breton County on July 31, 1971
Female Death Registration: Year: 1971 number: 4757
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 004757
1. PLACE OF DEATH County of Cape Breton If in City or Town Glace Bay
If death occured in a hospital or institution St. Joseph's Hospital
3. PRINT NAME OF DECEASED MacDougall, Mary Catherine
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
Scottish
7. Single, Married
widowed
8. BIRTHPLACE Grand Mira
9. DATE OF BIRTH 6 6, 1898
10. AGE in Years73 Months1 Days25 | hrs or mins
11. Trade or profession Household Duties
12. Kind of industry at home
13. Date last worked June 1967 14. Total years
15. If married name of spouse Michael MacDougall (Dec'd)
16. NAME of Father Dougall MacCarthur
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Catherine
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Ed MacDougall
address 24 Park St, Dominion, NS
Relationship to deceased son
21. Place of burial Calvary Cemetery, Dominion, NS
Date of burial August 3, 1971
22. Undertaker V.J. McGillivrary Funeral Homes Limited, Glace Bay
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH July 31, 1971
CAUSE OF DEATH
(a) hypostatic pneumonia
(b) senile arteriosclerosis
(c)
other
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