MySource:Kerbent/Death Certificate Annie Kitto, 8 November 1904, Reference 1187, Registry of Birth, Death and Marriages, Victor

Reference number: DC0009

Transcription of Certificate Third Schedule Deaths in the District of________ in the State of Victoria Registered by ________ When and where Died-  ?? November 1904, Asylum for the Insane Name and Surname, Rank or Profession- Old Age ????? Sex and age- Female 77 years Cause of Death, Duration of Illness, Medical Attendant by whom certified, and when he last saw Deceased- Bronoko Pneumonia and granular kidneys ??????????????? Name and Surname of Father and Mother, If known, with Rank or Profession- Unknown Signature, Description, and Residence of Informant- Thomas Timothy Myers, Mounted Constable, Present at request, Sunbury Signature of Deputy Register, Date, and where Registered- M. McMahon, 10th November 1904, Sunbury When and where buried. Undertaker by whom certified- 10th November 1904, Cemetery Eaglehawk/ ???? Name and Religion of Minister, or Names of Witnesses of Burial- Henry J Joy, John Mill Where Born, and how long in the Australian Colonies, stating which- England,?????? If the Deceased was married- ???????? Where, and at what Age and to Whom-  ??????? Issue in order Birth their Names and Ages-  ??????