MySource:Kerbent/Death Certificate Martha Hughes

Reference number: dcb034

URL: http://www.justice.vic.gov.au

THIRD SCHEDULE Deaths in the District of MELBOURNE in the Colony of Victoria Registered by Samuel Henry Edgerton Hollow When and where Died- 4th May 1940, 5 Lithgow Street, City of Camberwell, County of Bourke Usual place of residence: 5 Lithgow Street, Burwood, City of Camberwell Name and Surname, Rank or Profession- Martha Hughes, Home Duties Sex and age- Female, 66 years. Cause of Death, Duration of last Illness, Medical Attendant by whom certified, and when he last saw Deceased- Coronary thrombasis - 1day; Atheroma, Myocarditis -treated for past 5 years, & Modular goitre with thyrotoxicosis 25 years approximately; Dr.R.M.Wishart, 3rd May 1940 Name and Surname of Father and Mother, If known, with Rank or Profession- James Bassett, Mine Manager, Eleanor Bassett, formerly Simons Signature, Description, and Residence of Informant-  ???, Authorised Agent, Glenhuntly Road, Elsternwick Signature of Deputy Register, Date, and where Registered- S.H.E.Hollow, 10 May 1940 When and where buried. Undertaker by whom certified- 6th May, 1940, Burwood Cemetery, W.G.Scholten Name and Religion of Minister, or Names of Witnesses of Burial- R.Fritz Gerald, V.Hurst. Where Born, and how long in the Australian Colonies, stating which- Sailors Gully Victoria, 66 years in Victoria If the Deceased was married Where, and at what Age and to Whom- Bendigo, Victoria, 26 years, John Edward Hughs Issue in order Birth their Names and Ages- Annie May, 38 years, Elva, 37 years, John Edward, 35 years, Ruby, deceased, HoraceJesse, 30 years, Thomas James, 29 years