| 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 maiden surname of mother 3. Rank or profession of father |
When and where buried |
Name and Religion
of minister or names of witness of burial |
1. Where born
2. How long in NZ |
1. Where married 2. At what age 3. To Whom |
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 |
| 18th May 1902 New Plymouth |
1. Harriet
Mann 2. Widow |
F
72 years |
1.Pneunomia
2. 10 days 3. H.A.McLeland 4. 18th may 1902 |
1. Oakes
2. Not known 3. Well sinker |
21st May
1902 Auckland Cemetary |
R.J.Mcniel
Prebyterian on undertakers certificate |
1. Birmingham
2. 36 years |
Birmingham England
24 years Christopher frederick Mann |
1 male
31 years 3 females 41,38,35 |
1. F. Mann
2. son of Harriet Mann 3. New Plymouth |
John C. Smith
Reg. 19th May 1902 |
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| © JCC Glass | Updated 24 Aug 2003 |