Male Death Registration: Year: 1971 number: 6779
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 006779
1. PLACE OF DEATH County of Hants If in City or Town Windsor
If death occured in a hospital or institution Payzant Memorial Hospital
3. PRINT NAME OF DECEASED Rafuse, George Paulin
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
White
7. Single, Married
widowed
8. BIRTHPLACE Upper Vaughan, Hants County
9. DATE OF BIRTH 10 24, 1882
10. AGE in Years89 Months1 Days1 | hrs or mins
11. Trade or profession Farmer
12. Kind of industry Farming
13. Date last worked 1955 14. Total years 55
15. If married name of spouse
16. NAME of Father George Rafuse
17. BIRTHPLACE NS
18. NAME of Mother Hannah Swinamer
19. BIRTHPLACE NS
20. Signature of Informant Mrs Harley Wilson
address Falmouth, Hants County, NS
Relationship to deceased Daughter
21. Place of burial Sherwood, Lunenburg County, NS
Date of burial November 28 1971
22. Undertaker Lohnes Funeral Service, Ltd, Windsor, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH November 25, 1971
CAUSE OF DEATH
(a) Accute coronary occlusion
(b) Arteriosclerosis
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=498852
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