Queensland Death Certificate
DEATH in the District of Brisbane
2005 Registered by Desmond Barry Tanner, 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
John Thomas Price
Labourer
Ruby Beatrice O'Brien
Home Duties
MARRIAGE(S)
Where, at what age and to whom deceased was married
CHILDREN
Names and ages
Deceased number and sex
Living
John Anthony 58, Wendy
Alice 56, Peter Gerard 54,
Michael Francis 50, Geralyn Ann 48, Mark Patrick 46,
Gregory William 44, David Thomas 42, Timothy Paul 36
MEDICAL
Cause of death
Duration of last illness
Medical attendant by whom certified
When he/she last saw deceased
1.(a) Cerebrovascular accidents
from 17 December 2004 - last one on 15 March 2005 (b) hypertension
(b) years
M. P. SMITHURST
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
29 March 2005 Redcliffe Lawn Cemetery
Anthony B. MITCHELL
Gerard McMORROW, Roman Catholic
INFORMANT
Name, description or relationship,
and residence
Certified in writing by
J. A. McNAMARA, Son, 13/16 Grace Court,
Kew Gardens, Victoria
REGISTRAR
Name, date and place of registration
D. B. TANNER 7 April 2005, Brisbane