MySource:Kerbent/Death Certificate William Bassett (1945)

Reference number: DC0003

Where & where died: 9th June, 1945; 38 William Street, Balaclava, City of St Kilda, County of Bourke. Usual Address: 38 William Street, Balaclava, City of St Kilda Name and Surname: William Bassett Occupation: Labourer Sex and age: Male, 67 Years Cause of death: Pulmonary Tuberculosis - Pulmonary emphysema Legally qualified medical practitioner by whom certified and when he last saw deceased: Dr. M. Miraki, 8th June, 1945 Name and surname of father and mother (maiden name if known), with occupation: James Bassett, Hannah Bassett, maiden name unknown, Miner Signature, description, and relationship of informant: W.?.?.Fisher, Authorized Agent, High Street, St Kilda. Signature of Registrar Date and where registered: ??, 13th June 1945, Melbourne Name and religion of Minister, or names of witnesses of burial S. Nicholson, H. Stephens Where born, and how long in the Australian States, stating which: Eaglehawk, Victoria. 67 years in Victoria If deceased was married: Not married.