Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Roy Allan MacDougall death at Foot Cape, Inverness County on August 29, 1971
Male Death Registration: Year: 1971 number: 5778
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 005778
1. PLACE OF DEATH County of Inverness If in City or Town Foot Cape
3. PRINT NAME OF DECEASED MacDougall, Roy Allan
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Scottish
7. Single, Married
single
8. BIRTHPLACE Salem, Massachusetts, USA
9. DATE OF BIRTH 8 18, 1891
10. AGE in Years80 Months Days11 | hrs or mins
11. Trade or profession Farming
12. Kind of industry Self
13. Date last worked 1962 14. Total years 60
15. If married name of spouse
16. NAME of Father Allan MacDougall
17. BIRTHPLACE Inverness County
18. NAME of Mother Emma Smith
19. BIRTHPLACE Chicago, USA
20. Signature of Informant William MacDougall
address Inverness
Relationship to deceased Brother
21. Place of burial Strathlorne
Date of burial August 29, 1971
22. Undertaker Rod MacDonald Funeral Home
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH August 29, 1971
CAUSE OF DEATH
(a) Acute Cornonary Thrombosis
(b) Atherosclerosis
(c)
other
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