Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Daniel Rafferty death at Glace Bay, Cape Breton County on January 4, 1970
Male Death Registration: Year: 1970 number: 1037
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 001037
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 Rafferty, Daniel
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Irish
7. Single, Married
married
8. BIRTHPLACE Low Point
9. DATE OF BIRTH 1 4, 1970
10. AGE in Years73 Months5 Days15 | hrs or mins
11. Trade or profession Retired Miner
12. Kind of industry Dominion Coal Co Ltd.
13. Date last worked 1961 14. Total years
15. If married name of spouse Gladys Ling
16. NAME of Father John Rafferty
17. BIRTHPLACE Ireland
18. NAME of Mother Mary McDonald
19. BIRTHPLACE Low Point
20. Signature of Informant Mrs. Dan Rafferty
address 662 David St., Glace Bay
Relationship to deceased Wife
21. Place of burial St. Anne's, Glace Bay
Date of burial January 7, 1970
22. Undertaker V J McGillivray Funeral Homes Ltd, Glace Bay
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH January 4, 1970
CAUSE OF DEATH
(a) Gastrointestinal (GI) Bleed
(b) Duodenal Ulcer
(c)
other
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