Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Harvey Erman Rafuse death at Wolfville, Kings County on December 19, 1970
Male Death Registration: Year: 1970 number: 7681
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 007681
1. PLACE OF DEATH County of Kings If in City or Town Wolfville
If death occured in a hospital or institution Eastern Kings Memorial Hospital
3. PRINT NAME OF DECEASED Rafuse, Harvey Erman
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Dutch
7. Single, Married
married
8. BIRTHPLACE Middleton
9. DATE OF BIRTH 10 16, 1919
10. AGE in Years51 Months2 Days3 | hrs or mins
11. Trade or profession Merchant
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse Pauline Parks
16. NAME of Father Jack Rafuse
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Ella Clark
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Mrs. Pauline Rafuse
address 402 Main Street, Wolfville
Relationship to deceased Wife
21. Place of burial Willowbank Cemetery
Date of burial December 21, 1970
22. Undertaker H. C. Lindsay Funeral Home
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH December 19, 1970
CAUSE OF DEATH
(a) Ventricular fibrillation
(b) Congestive heart failure
(c) conronary arteery disease
other Bronchopneumonia
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