Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Bertha May Rafuse death at Lunenburg, Lunenburg County on January 17, 1971
Female Death Registration: Year: 1971 number: 1269
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 001269
1. PLACE OF DEATH County of Lunenburg If in City or Town Lunenburg
If death occured in a hospital or institution Fisherman Memorial Hospital
3. PRINT NAME OF DECEASED Rafuse, Bertha May
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE Gold River
9. DATE OF BIRTH 6 16, 1896
10. AGE in Years74 Months7 Days | hrs or mins
11. Trade or profession House wife
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse Mr. Edward Rafuse
16. NAME of Father Arthur Vaughan
17. BIRTHPLACE Gold River
18. NAME of Mother Millie Kaizer
19. BIRTHPLACE Gold River
20. Signature of Informant Edward W. Rafuse
address Martins Point
Relationship to deceased Husband
21. Place of burial Western Shore
Date of burial 19 June 1971
22. Undertaker Mahone Funeral Home, Mahone Bay
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH January 17, 1971
CAUSE OF DEATH
(a) CVA
(b) Carcinoma lung
(c)
other
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