| DESCRIPTION OF DECEASED | CAUSE OF DEATH | PARENTS | IF BURIAL REGISTERED | WHERE BORN | IF DECEASED WAS MARRIED | INFORMANT | REGISTRAR | ||||
|---|---|---|---|---|---|---|---|---|---|---|---|
| when and where died |
1. Name 2. Rank or profession |
Sex and Age |
1. Cause of death 2. Description of last ilness 3. Medical Attendant 4. When he last saw deceased |
1. Name and surname of father 2. Name and surname of mother 3. Maiden name 4. Rank or profession of father |
When and where buried |
1. Name and Religion of minister or 2. Names of witness of burial |
1. Where born 2. How long in NZ |
1. Where married
2. At what age 3. To Whom 4. age of widow |
If issue living state number age and sex |
1. Signiture of informant 2. His or her description 3. Residence |
1.Signiture of Registrar 2. Date |
| 26th June 1950 Warwick Rd. Hastings |
1. Alfred Glass 2. Retired General Labourer |
M
73 years |
1.Heart Failure :not certified 2.Coroner consisdered Inquest 3. ------ 4.unnessesary |
1. John Glass 2. Margaret Glass 3. Campbell 4. Baker |
1. 29th June 1950 2. Hastings Cemetary |
1.D.S. Charlmers Prebyterian 2. --- |
1. Millers Flat 2. 73 years |
1.Auckland 2. 23, 50 3. Evelin Clarke 4. No widow |
1 male
49 years 0 females ----- |
1. George Elbert
2. Coroner 3. Hastings |
----- Reg. 27th June 1950 |
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| © JCC Glass | Updated 22 sept 2003 |