Queensland Death Certificate
DEATH in the District of Dalby
1909 Registered by Frederick Charles Meredith Burnett, District Registrar
1909 Registered by Frederick Charles Meredith Burnett, District Registrar
in the State of Queensland
Number
916 92
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
William Francis McNAMARA
----
Male 68 days
30 May 1909
"Rosebank" Jandowae
Gowrie Junction, 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
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
---------
---------
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
Convulsions
-----
-----
-----
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
31 May 1909, Cemetery Jandowae
Angus STEWART
James STEWART, Ewen A. CAMERON
INFORMANT
Name, description or relationship,
and residence
Name, description or relationship,
and residence
REGISTRAR
Name, date and place of registration
Name, date and place of registration
F. C. M. BURNE, 22 June 1909 Dalby
