Queensland Death Certificate
DEATH in the District of Dalby
1930 Registered by Samuel Cuthbert Mossom, District Registrar
1930 Registered by Samuel Cuthbert Mossom, District Registrar
in the State of Queensland
Number
2565 3361
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
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
Edward Stuart CHERRY
Farmer
Male, 57 years
10 June 1930
Dalby Hospital
Dalby, Queensland
since birth in Queensland
PARENTS
Name and surname of father
Occupation
Name and maiden surname of mother
Name and surname of father
Occupation
Name and maiden surname of mother
James Alfred John CHERRY
Labourer
Eliza STUART
MARRIAGE(S)
Where, at what age and to whom deceased was married
Where, at what age and to whom deceased was married
CHILDREN
Names and ages
Deceased number and sex
Names and ages
Deceased number and sex
Living
Agnes Mary 21, Muriel Hay 19, Edward Thomas,
Norman Stewart 14
Deceased
Agnes Mary 21, Muriel Hay 19, Edward Thomas,
Norman Stewart 14
Deceased
MEDICAL
Cause of death
Duration of last illness
Medical attendant by whom certified
When he/she last saw deceased
Cause of death
Duration of last illness
Medical attendant by whom certified
When he/she last saw deceased
(1) Enlarged Prostate (2) Uraemia (3) Exhaustion
(2) 6 months
H. L. HAWTHORNE
9 June 1930
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
When and where buried or cremated
By whom certified
Name and religion of minister, and/or
names of two witnesses of burial or cremation
11 June 1930, Jandowae Cemetery
J. JOHNSTON
B. NOLAN, Roman Catholic
J. LYON Jr., J. H. HOSKIN
INFORMANT
Name, description or relationship,and residence
Name, description or relationship,and residence
Certified in writing by
A. J. W. ANDREWS, Matron Dalby Hospital Dalby
A. J. W. ANDREWS, Matron Dalby Hospital Dalby
REGISTRAR
Name, date and place of registration
Name, date and place of registration
S. C. MOSSOM, 1 July 1930 Dalby
