Queensland Death Certificate
DEATH in the District of Blackall
1886 Registered by Robert Archibald Ranking, District
Registrar
in the Colony of Queensland
Number
941 1088
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
Mary Ellen BARRY
Infant
Female 1 year
2 April 1886
Blackall
Blackall, Queensland
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
MEDICAL
Cause of death
Duration of last illness
Medical attendant by whom certified
When he/she last saw deceased
Marasmus
5 days
Horace G. BUTTON
1 April 1886
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
3 April 1886, Blackall Cemetery
James HARTLEY
-------
C. E.WRIGHT, C. HAWKSWELL
INFORMANT
Name, description or relationship,
and residence
Certified in writing by
John BARRY, Father,
Blackall
REGISTRAR
Name, date and place of registration
R. A. RANKING, 3 April 1886, Blackall
NOTES (if any)