Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Mary M. Rafuse death at Halifax, Halifax County on August 4, 1971
Female Death Registration: Year: 1971 number: 4881
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 004881
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, Mary M.
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
Scottish
7. Single, Married
separated
8. BIRTHPLACE Scotland
9. DATE OF BIRTH 3 12, 1911
10. AGE in Years60 Months4 Days28 | hrs or mins
11. Trade or profession
12. Kind of industry House duties
13. Date last worked 14. Total years
15. If married name of spouse
16. NAME of Father
17. BIRTHPLACE
18. NAME of Mother
19. BIRTHPLACE
20. Signature of Informant Mr. Gerald Hollett
address 5538 Stanley Place Hfx, NS
Relationship to deceased Friend
21. Place of burial Gate of Heaven, Lr. Sackville
Date of burial Aug 6, 1971
22. Undertaker Snow & Co. Ltd.
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH August 4, 1971
CAUSE OF DEATH
(a) Pulmonary embolism
(b) Septicemia
(c) Extensive burns
other Accident: Burned filling cigarette lighter
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