Nova Scotia Archives

Nova Scotia Births, Marriages, and Deaths

Diane Josephi Rafuse death at Lucasville, Halifax County on September 28, 1970

Female Death Registration: Year: 1970 number: 5776

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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH

02 - 005776

1. PLACE OF DEATH   County of Halifax If in City or Town Lucasville

3. PRINT NAME OF DECEASED Rafuse, Diane Josephi

4. Sex

Female

5. Citizenship

Canadian

6. Racial Origin

English

7. Single, Married

single

8. BIRTHPLACE Lower Sackville

9. DATE OF BIRTH 1  19, 1942

10. AGE in  Years28  Months8  Days9 | hrs or mins

11. Trade or profession

12. Kind of industry

13. Date last worked       14. Total years

15. If married name of spouse

16. NAME of Father  

17. BIRTHPLACE

18. NAME of Mother Gertrude Rafuse

19. BIRTHPLACE Nova Scotia

20. Signature of Informant Mrs Gertrude Wilson

      address Old Sackville Rd, Lower Sackville

      Relationship to deceased Mother

21. Place of burial St John's Cemetary, Lower Sackville,

      Date of burial Thursday, October 1, 1970

22. Undertaker R.D. Lindsays, Bedford

MEDICAL CERTIFICATE OF DEATH

23. DATE OF DEATH September 28, 1970

CAUSE OF DEATH

(a) Gun shot would through head

(b)

(c)

other Homicide - shot by 12 gauge. At home. Autopsy.

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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=491084

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