Queensland Death Certificate
DEATH in the District of Maryborough
1911 Registered by Frederick Charles Hunter, District Registrar
1911 Registered by Frederick Charles Hunter, District Registrar
in the State of Queensland
Number
2941 653
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 FULLER
Teamster
Male, 68 years 11 months
31 July 1911
Didcot
Battle Sussex, England
About 53 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
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
Living - Rowland John 38, Julia Rosaline 36, Margaret Alice 34, William Joseph, Annie Elizabeth 29
1 Male
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
Cancer of arm, hand and wrist amputated - months ago
14 months
Dr. C. P.SAPSFORD
29 June 1911
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
1 August 1911, Degilbo Cemetery
H. W.STEPHENSON
Thomas LEE Roman Catholic
Samuel J. GIVENS, W. F. MERRITT
INFORMANT
Name, description or relationship,
and residence
Name, description or relationship,
and residence
Certified in writing by
Margaret FULLER, Wife
Didcot
Margaret FULLER, Wife
Didcot
REGISTRAR
Name, date and place of registration
Name, date and place of registration
F. C. HUNTER, 11 August 1911, Maryborough
