Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Grace Marie Rafuse death at Bridgewater, Lunenburg County on October 14, 1970
Female Death Registration: Year: 1970 number: 6070
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 006070
1. PLACE OF DEATH County of Lunenburg If in City or Town Bridgewater
If death occured in a hospital or institution Dawson Memorial Hospital
3. PRINT NAME OF DECEASED Rafuse, Grace Marie
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
German
7. Single, Married
married
8. BIRTHPLACE Bridgewater
9. DATE OF BIRTH 7 23, 1929
10. AGE in Years41 Months2 Days22 | hrs or mins
11. Trade or profession Housewife
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse Douglas Rafuse
16. NAME of Father Charles Tompkins
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Annie Nauss
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Mr. Douglas Rafuse
address Bridgewater
Relationship to deceased Husband
21. Place of burial Bridgewater
Date of burial Oct 17, 1970
22. Undertaker Charles Sweeney
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH October 14, 1970
CAUSE OF DEATH
(a) Multiple secondaries
(b) Cancer of Breast
(c)
other agranulocytosis due to cytotoxic drugs
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