Queensland Death Certificate
DEATH in the District of Brisbane
1994 Registered by Colin James Green, Registrar-General
in the State of Queensland
Number
94/10970
DECEASED
Name and surname
Occupation
Sex and Age
Date of Death
Place of Death
Where born and, if not born in Australia,
period of residence in Australia
PARENTS
Name and surname of father
Occupation
Name and maiden surname of mother
MARRIAGE(S)
Where, at what age and to whom deceased was married
CHILDREN
Names and ages
Deceased number and sex
Living-
John Anthony
47, Wendy Alice 46, Peter Gerard 44,
Michael Francis 39, Geralyn Ann 38, Mark Patrick 36,
Gregory William 34, David Thomas 36, Timothy Paul 25
MEDICAL
Cause of death
Duration of last illness
Medical attendant by whom certified
When he/she last saw deceased
1.(a) Septicemia (b) Bronchopneumonia 2. Senile dementia - Alzheimer type, anemia - pancytopenia, alcoholic liver disease, non insulin dependent diabetes mellitus
1 (a) days (b) days 2 years
Grant R. CAMERON
15 November 1994
BURIAL or CREMATION Registered
When and where buried or cremated
By whom certified
Name and religion of minister, and/or
names of two witnesses of burial or cremation
22 November 1994 Redcliffe Lawn Cemetery
D. MOLLOY
John KILINKO, Roman Catholic
INFORMANT
Name, description or relationship,
and residence
Certified in writing by
M. F. McNAMARA, Son, 20 Rilatt Street
Wavell Heights
REGISTRAR
Name, date and place of registration
C. J. GREEN, 30 November 1994