Queensland Death Certificate
DEATH in the District of Bowen
1968 Registered by D. A. Fische, District Registrar
in the State of Queensland
Number
7188 15807
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
Sabina FONTAINE
------
Female 95 years
1 December 1968
District Hospital, Proserpine
Dalby
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
Living - Bertha Maud 73, William James 72, Ernest Alfred
70, David Ollie 66, Jessie Marie 63, Boxer Robert 58,
Queen Ethel 60, Edward Lawrence 57, Joseph Henry 55, Robert
Francis 52, Ivy Kuridala 50
2 males, 1 female
MEDICAL
Cause of death
Duration of last illness
Medical attendant by whom certified
When he/she last saw deceased
1.(a) Ischaemic gangrene right foot, (b) Generalised
arteriosclerosis 2. Senile dementia
1. (a) 6 months (2) 10 years (b) 10 years
Peter de JERSEY
30 November 1968
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
2 December 1968, Richmond Cemetery
A. E. SMITH
R. JONES, Roman Catholic
INFORMANT
Name, description or relationship,
and residence
Certified in writing by
D. FONTAINE, Son, Ronald Plains, Richmond and
T. P. McGLONE, No relation, 31 Marathon Street Proserpine
REGISTRAR
Name, date and place of registration
D. A. FISCHE, ------ , Bowen
NOTES (if any)