Queensland Birth Certificate
BIRTHS in the District of Dalby
1883 Registered by Frederick William Roche, District Registrar
1883 Registered by Frederick William Roche, District Registrar
in the Colony of Queensland
Number
1609 3105
CHILD
When and where born
Name
Sex
When and where born
Name
Sex
23 June 1883, Condamine Street, Dalby
John (Elder born of twins)
Male
PARENTS
Father -
Name and surname of father
Profession, trade or occupation
Age
Birthplace
When and where married
Father -
Name and surname of father
Profession, trade or occupation
Age
Birthplace
When and where married
Issue - Living and deceased
Mother -
Name and maiden surname
Age
Birthplace
Name and maiden surname
Age
Birthplace
INFORMANT
Signature, description and residence
of informant
Signature, description and residence
of informant
Certified in writing by
James McNAMARA, Father
Condamine Street, Dalby
James McNAMARA, Father
Condamine Street, Dalby
WITNESS
Medical attendant
Nurse
Other witness to birth
Medical attendant
Nurse
Other witness to birth
-----
Mrs. McEVOY
-----
REGISTRAR
Signature of Registrar
Date
Place of Registration
Signature of Registrar
Date
Place of Registration
Frederick William ROCHE
13 July 1883,
Dalby
Name added after registration of
birth
