Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Kenneth Havelock Rafuse death at New Ross, Lunenburg County on November 9, 1971
Male Death Registration: Year: 1971 number: 6490
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 006490
1. PLACE OF DEATH County of Lunenburg If in City or Town New Ross
3. PRINT NAME OF DECEASED Rafuse, Kenneth Havelock
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
German
7. Single, Married
single
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 1 11, 1887
10. AGE in Years84 Months9 Days29 | hrs or mins
11. Trade or profession Labourer
12. Kind of industry
13. Date last worked November 9 1971 14. Total years
15. If married name of spouse
16. NAME of Father George Rafuse
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Nellie Manthorne
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Bruce Rafuse
address New Ross
Relationship to deceased Nephew
21. Place of burial New Ross
Date of burial November 11, 1971
22. Undertaker Davis Funeral Home
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH November 9, 1971
CAUSE OF DEATH
(a) Myocardial Infarction
(b)
(c)
other
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