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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