Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
John MacDougall death at New Waterford, Cape Breton County on December 8, 1971
Male Death Registration: Year: 1971 number: 7288
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 007288
1. PLACE OF DEATH County of Cape Breton If in City or Town New Waterford
If death occured in a hospital or institution New Waterford Consolidated Hospital
3. PRINT NAME OF DECEASED MacDougall, John
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Scottish
7. Single, Married
widowed
8. BIRTHPLACE Bridgeport
9. DATE OF BIRTH 2 14, 1892
10. AGE in Years79 Months9 Days24 | hrs or mins
11. Trade or profession Retired Coal Miner
12. Kind of industry
13. Date last worked 1953 14. Total years 40 years
15. If married name of spouse Catherine Gillis
16. NAME of Father Alex MacDougall
17. BIRTHPLACE Louisbourg, Cape Breton Co., NS
18. NAME of Mother Margaaret MacNeil
19. BIRTHPLACE Big Pond, Cape Breton Co., NS
20. Signature of Informant Joseph MacDougall
address 32 12th Avenue, New Waterford, Cape Breton Co., NS
Relationship to deceased Son
21. Place of burial Mt. Carmel Cemetery, New Waterford, Cape Breton Co., NS
Date of burial 11 December 1971
22. Undertaker V. J. McGillivray Funeral Homes Ltd., New Waterford, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH December 8, 1971
CAUSE OF DEATH
(a) Cerebral Thrombosis
(b) Arteriosclerosis
(c) Degeneration?
other Senility and Arteriosclerotic Heart Disease
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