Queensland Death Certificate
DEATH in the District of Bowen
1921 Registered by Reginald Harold Allen, District Registrar
1921 Registered by Reginald Harold Allen, District Registrar
in the State of Queensland
Number
1921/3582 2308
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
Walter Eustace PERROUX
Photographer
Male, 63 years 3 months 8 days
15 November 1921
Kennedy Hospital, Bowen
Calcutta, India
47 years 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
Charles Alexander PERROUX
Indigo Manufacturer
Henrietta DEVERIA
MARRIAGE(S)
Where, at what age and to whom deceased was married
Where, at what age and to whom deceased was married
Maryborough, Queensland, 24 years
Catherine Elizabeth GAFFNEY
CHILDREN
Names and ages
Deceased number and sex
Names and ages
Deceased number and sex
Living -
Francis Xavier 38 years, Herbert Spencer 36 years,
Vincent Wallace 34 years, Eugenie 32 years,
Eustace Alexander 30 years, Esperance Dorothy 28 years
------
Francis Xavier 38 years, Herbert Spencer 36 years,
Vincent Wallace 34 years, Eugenie 32 years,
Eustace Alexander 30 years, Esperance Dorothy 28 years
------
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. Chronic intermittent intestinal obstruction
2. Acute obstruction peritonitis 3. Toxemia
6 days in hospital
Dr. Nigel Alan Allison TRENOW
15 November 1921
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
16 November 1921l, Bowen Cemetery
C. MICHAEL
J. A. MORLEY, Roman Catholic
Jonathan BOUETER, J. E. KELLT
INFORMANT
Name, description or relationship,
and residence
Name, description or relationship,
and residence
Certified in writing by
A. C. KENNEDY, Matron, Kennedy Hospital
Bowen
A. C. KENNEDY, Matron, Kennedy Hospital
Bowen
REGISTRAR
Name, date and place of registration
Name, date and place of registration
R. H. ALLEN, 21 November 1921, Bowen
