Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Ellis Wilfred Rafuse death at Halifax, Halifax County on December 30, 1970
Male Death Registration: Year: 1970 number: 7405
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 007405
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
If death occured in a hospital or institution Victoria General Hospital
3. PRINT NAME OF DECEASED Rafuse, Ellis Wilfred
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 11 14, 1894
10. AGE in Years76 Months1 Days16 | hrs or mins
11. Trade or profession Retired
12. Kind of industry
13. Date last worked 1958 14. Total years
15. If married name of spouse Pearl Rafuse
16. NAME of Father Leander Rafuse
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Amanda Hatt
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Mrs. Pearl Rafuse
address 1757 Vernon St. Halifax
Relationship to deceased wife
21. Place of burial Chester
Date of burial Jan 1, 1971
22. Undertaker Davis Funeral Home
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH December 30, 1970
CAUSE OF DEATH
(a) Arteriosclerotic Heart Disease
(b)
(c)
other Intractable congestive heart failure
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