Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Darrell Thaddeus Rafuse death at Bridgewater, Lunenburg County on May 2, 1971
Male Death Registration: Year: 1971 number: 3212
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 003212
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, Darrell Thaddeus
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
German
7. Single, Married
married
8. BIRTHPLACE Vogler's Cove, Lun. County Nova Scotia
9. DATE OF BIRTH 10 10, 1914
10. AGE in Years56 Months6 Days22 | hrs or mins
11. Trade or profession Fisherman
12. Kind of industry Deep Sea
13. Date last worked 1968 14. Total years 25 yrs
15. If married name of spouse Mrs (Madge) Darrell Rafuse
16. NAME of Father Clayton Rafuse
17. BIRTHPLACE Vogler's Cove, Lun. Co. NS
18. NAME of Mother Hilda Smith
19. BIRTHPLACE Broad Cove, Lun. Co. NS
20. Signature of Informant Mrs Darrell Rafuse
address Broad Cove, Lun. Co. NS
Relationship to deceased wife
21. Place of burial Broad Cove, Lun. Co. NS
Date of burial May 5, 1971
22. Undertaker Stan N Wambach, Bridgewater, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH May 2, 1971
CAUSE OF DEATH
(a) Acute Pulmonary Hemorrhage
(b) Carcinoma Lung
(c)
other
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