Registration of Births, and c Act 1855 (SA)

No. 3.

An A c t to n?uelzd the Law relating to Registcrirtg o f Births, Death,

m d ilfarri~ges irz the Provilace o f Sotcth Australia.

[A sscntcd to, Febrnary 1, 1856.1

T-TERi?,AS an Act was passccl in the fifth year of the reign of Preamble

Her present Mz~jcsty, intit uled " AIL Actr for Eegistering Births, Heaths, ancl RIarriagcs in the Province of Sonth Australia:"

-.

And wllercas a certain other Act was passed in the fifth year of Her said hfajrst y, intitulcd An Act for Ile@ating -Marriages --. in the Province of South Austrdi;~:" i\nd a certtwn other Act was passed in the ycar of our Lord one thousand eight hundrcrl and fiftytwo, and in thc tenth year of Her said Majesty, intitnlccl " An Act to Amend the Titw rcli~tilig to 3llarriagc in the l'rovir~ce of South Australia:"'

And it is csyrd&nt to re ,&l the said first recited Act, and also to 7 - 7 -

reue;zlcertailr portions o f t le two last recited Acts, with a view to -3-

amend t l Z T E i ~ i c m g to llegistering of?flirths, Deaths, and Mar-

riagcs-Bc it thercforc Enact zd, by Hi s Excellency the Governor-iu-

Chef of South Anstralia, by ~211~1 with the advice and consent of the

Lcgislative Couucil thereof, as follows, that is to say:

1. From ancl aftcr such (lity as may bc appointed for such purpose %pea, previona

by the Gorernor, by any Proclamation to be by him published in $+,""&p..'.t..,with

the Sotc tlh i l ~ t s t r a l i m Go v e r n m v ~ t GCICP~~C, the .said first recited Act, - - S -- ->

ancl so much of the two last recited Acts as arc ~nconsistent	with the
provisions of this AZt, shall be and are hereby repepled.

2. It shall be lawful for the GOT-ernor, by Proclamation in Governor to appoint

the South Arrstrcrlian Gosernmevt Gazette, to appoint a proper Office in the City of Adelaide for keeping a General Register of Births, Ihaths, and Rlarriages of all Her Majesty's subjects in the Province of South Anstralia; and, also, in like manner to appoint in each of

the several districts into which the said Province may, for the

purposes of this Act, be divided, a proper Office in which may be

E kept

kept a Register of Births, Deaths, and Marriagcs occurring within

the limits of such district.

Oo~ernortoappoint

Re istrar-General 3. I t shall be lawful for the Governor to appoint a proper person

an Deputies,	fi	to bc Registrar-General of Births, Deaths, and hlarri;tgvs, who shall exercm the several duties by this Act appointed to he cxcrcised by such Registrar-General; and, also, to appoint oncl or morc I)c>puty
Registrars of Births, Deaths, ancl Marriages, ss may be found news-
sary, and cvery duty, act, matter, or thing by this Act appointctl to be exercised or done by the Registrar-Gcneral, may in like inamer be exercised or done by any such Deputy Registrar.

Division of the Pro-	4. The Govcrnor shall, within six calenclar rno~iths	after thc ltawing
vince into districts,

and appointment of	of this Act, by Procll-tmntion, published iu tllo ,5'out?z Au.l;/raiimz
Jhtrict Registrars to
such districts.	Gove~nment Gazette, cliriclc the l'rovincc of South Australia and its Dependencies into such and so many districts as he shall think fit, and shall and may, at his ciiscrction, by any Proclamation publid~ud
as aforesaid, from time to time, alter the bounclaries of any such &S- t r ic t~, a d create new clistricts, and every such district s l d l bc ~iillctl by a distinct name, n l d shall be a Regist#rar's District, and shall
also, from tirnc to timtl, uppoint a pcrson to be 1)istrict J<cy;istrar of Births, Deaths, ancl Illarriagus, within cvery such district, and at his pleasure remove sach person, and, i11 crcry case of vacancy in the office of District lkgistrur, shall forthwith fill up the t.aCilllC'Y; ancl every such appointment or removal shall be duly notificd ill thC
South Austrdia~t Governmetzt Gazette.

In case of illness or 5. I n casc of thr illness or unavoidable abscncc of the Regis-

unavoidable absence,

Regiarar or Uiatriet trar-G eneral, or of any Dcpaty Ucgistrar or Uibtrict lkgistrar. it

Registrar to be shall be lawful for the Governor to appoint, by writing untlvr his appointed. hantl, a fit person to act in the place ancl stead of 5nch I tc~ktrur- Gencral, Deputy, or llistrict Kegistra, and snch persoil, wliilc so acting, shall have all the powers a n d dntics, and bc sn1)jcct to all the provisions and penalties hertin rleclalwl concerning llrgihtrars- General, Ueputy, md District Rrgistrars.

Fees to he levied by 6. The Registrar-General, the Deputy, and District Rcgis-

Registrars under this, trars, to be appointed as hercinnf2er rnentiunecl, shall be illltl they

the regU-

l a t h marriages. are herebv entitled to levv m d receive the several fees authoriad to

be collcct~d by thcrn und& and by virtue of this Act a i d thc said Art intitulcd " An Act for Regillating Marriages ill South Australia," to be applied in manner hcrcinttfteu provided.

Regulations to be 7. The Registrar-General shall nl&e regulations for the manage-

- ment of the Register Office and for the duties of the District Registrars,

and duties of the	hereinbefore mentioned, in the execution of this Act, so that thev be
Registrar.	not contrary to the provisions herein contained, a i d such regulations being approved by thc Governor and publishcd in thc &uth Australian Government Gazette, s h d be binding on the District Registrars.

Book. and forms to 8. The Registrar-General shall furnish to every Cler,gyman,

be furnished to O&clathg

'IC	Officiating 31inister, Rcgistering Offiecr of the Society of Friends, officiating Xiniuers,	.and llistrict Registrar, such books a i d printed f m n s as may Fc &c.
necessary for the ~cgistcring births, clezttlis, and nlitrri;~ges in coil-
formity with such regulations n ~ d. with the provisions o f this Act,
and every ( 'lergyrnan ancl Of?iciat,i~~g Minister, and Ilcgistcring
Officcr ai'orcsaid, shall attrrtd at thr Cicneral Registry Offire, in
sldelaidc, ancl enter in a roll, to br kept for thitt purpow, 1liui:imc ancl place of abode, and the mlnc of the District or Districts for which he is nppoiutcri to officiate as such C'lcrg~ruan or 'hlinistcr, or ltcgistering Officur :ss afo~.clsaid; and ally C'lergyit~i~ii, OfFkiatiiig Minister, or Registering Officx~, who, nftw tlzc expir;ltion of three calendar months f r o ~ ~ i thc pussing of this Act, shd1 solcmnizt~ itny
marriage without hiving first so m t c ~ r c ~ l his n t m v and ;ibodc on
such roll as aforesaid, s l d l forfeit ailrl 1)ny tlle sum of Twwty l ' o ~ l ~ l s,

l l. I n case any birth or death shall not have been rcgistercd I n (yefault of registrr w~lhin ten or forty-

within such period of forty-two days or tell days, as thr: rase may be, , ,,,., , , Registrar

call parties. to make a solemn declaration of the particulars required to be known

it shall be lawful for thc Registrar-General or for any Ilistrict to on

Registrar to call upon such parent, occupier, district constable,

touching

touching such birth or death, according to the best of his or her knowledge m d belief, and it shall be lawful for the llegistrar- General or District Registrar thereupon to rcgistcr such birth o r death according to the particulars so ascertained; and the parent,

information, or for for refusing occupier, district constable, Coroner, or othcr person so called upon

~ s e	statement.	as aforesaid, shall pay to the Registrar-Ge1wii1, or District Registrar,
Five Shillings; and every parent, occupier, clistrict constable, Coroner, or other person who, when so called upon by the Registrar-General or I~istrict ltegistrar, shall refuse to state such particulars or shaU knowingly make a fdsc statcnlcnt thcreof, shall for such offence forfeit and pay a sum not exceeding Fifty Pounds; and in thc case

occurring at sea. Rcgistr'ltion of births of' ikllv child born at sea, or in any pwt of Australia other than this

Provhce or its Dependencies, of parents whose ordinary place of' abode is within this Province, it shall be lawful for the Rcgistrar- Cnlcral or for a District Rt@tmr, upoil a solemn declaration made by the parents or guardians of such child, or by such other person as shall be approved of by the llcgistrar-General or District-Registrar,

of such prticulars of the hirtlr as are by this Act required to be

known, thcn and there to register the birth of such child according

N~tne given way bo

reglstcrcd within ~ i x 12. If any child born in this Province, or its I)cyx~lencies, whose birtl; shall have been registered as aforesaid, shall, after it

months after rcgis~rir .

tion of birth.	shtill have been so registered, haw any name given to it in baptism, ou in the presence of any District Registrar, the parcnt or guardian of snch child, or other person, procuring such name to be given, shall, within sewn days next after such baptism, or the ~ i v i n g of such name, procure and deliver to the District Registrar, in whose c i ~ s t ~ d y the register of the birth of the cldd may then happoii to be, a certificate, according to the form of Scheclule D to this Act anncxed, signed hg the Minist& who shall llwe perforrncd the rite of baptism, or by the Registrar who shall have bccn present when the namc: was given, which certificate such Minister or Rcgistrar, as the case
may be, is hcrcby required to deliver immediately after tllc baptism,
or immediatcly aftcr the name has been given, whenever t h ~ same s l d l be thcn demnncled, on payment of the fee of One Ehilling, which he shall be therefore enti t ld to receive; ancl the District Registms, upon receipt of such certificate, and on p a p c n t of the fce of 'l'hrer Shillings, which he shall be therefore entitled to receive,
shall, withont any erasure of the original tintrp, forthwith registcr thcrcin that the child was baptised by such name, or had mch name given to it in his presence, nncl the District Registmr shall thereupon notify to the Registrar-General t,he arlditional entry so made: And be it Bnactod, 'l'hnt nothing in the preceding sections relative to the registration of births contained, shall be talicn to csclude from registration the birth of any dlild born within this Province, or its Dependencies, or in any part of Australia, other than this Province,
Nothing in the pm-
ceding scctians shall	or in Van IXernen's Imd, OF at sea, previously to thc commencement
prevent the registra-	of this Act; but it shall and may be lawful for the parent or guardian
tion of the birth of
any child born in this	of any snch child, to cause his birth to be registered under the same
Province, &C., or nt	provisions as by this Act are attached to the registration of the birth
sea, previous to the
commencement of	of children born within this Province subsequently to thc corn-
this ACE	menccment of this Act. 13. Every

13. fiery District Registrar, immediately upon registering any J $ ~ ~, t ~ ! ~; ~ ~ $ t o

death, or as soon thereaftcr as he shall be required so to do, shall, registry of &ath to

15ritllont fee or reward, deliver to the undertaker, or other person undertaker^ deliver the same to

having charge of the funcral, a certificate under his hand, according t h e Minister or officiating person.

to fie fbnn of Schcdolc E to tllis Act annexed, b t such dcath has Coroner order

been duly registered, and such certificate shall be delivered by such body to be baried,mnd give certificate

unticrtaker, or other person, to the Minister or officiating person thereof. No dead - -

who shall be rrquire& to buy, or to perform any religious service body to he buried without certificate of

for thr: bari;tl of the dead body; and if ally dead body s h l l bc buried. or ofimquest.

for which no certificate shall h v c bocn so delivered, the person who Penalts E10-

bury with or without any f~mersl or religious service, or perform

:my fiulrrd or any religious service for the hr ia l, or who shall in nu)- other way clispasc of the body, shall forthwith give notice to the It if irtyil r of the J Iistrict: Pm\ldod always, that the Coroner, upon holiiirtg any inquest, may oonder the body to be buried, if he shall think fit, bcforc registry of the ctcath, and shall in such case give a crrtificatc of his order, in writing under his hand, according to the forin of Schedule F to this Act annexed, to such unclcrtalrer or other per:ioll llavi'i17g cllarge of' the funeral, which shall he delivered as

itforesaid; and cvcry person who shall bury or perform any funeral or religious service for the burial of any dead body, for which no

certificate sllnll have been duly made and deli~ercci as aforesaid, eithcr bv tlric 1)istric:t Registrar or (:oroner, and 1~110 shall not within

one i;lo&x give notice thereof to the 1)istrict Registrar, shall forfeit

ancl pap m y s ~ m not exceeding Ten Pou11ds fur every such oifence.

14. Every Medical Prac titioncr who shall have been in attend- Medical practitioner t o certify cause of

ancc npon any person deceased, or who shall have examined death.

the botly shall ticliver to the nearest of kin, occupier, or othcr person

wqnircrl by this llct to give' information of the dcatli to the District

ltegistrw, a ccrtificate under his hand according to the form in the

Sclmlule liereto anncxcd, marked G;, setting forth to the best of his knowledge and belief the muse of dcath, which certificate such nearest of kin, occupier, or other person shall, when notifying the death, deliver to the District Xegistrar or Registrar-General; and such Jl cdical Practitioner neglecting to give such certificate when

demanded, shall be liable to a penalty not cxcecding Five Pounds nor less than Two Pounds.

15. Every person by whom the information required for Register- Inforlllsnt to sign

ing any birth or death under this Act shall havc been given %ion,	certificate of registra-
shall sign or attest his or her name, description, and place of abode in the Certificate of Registration to be made in duplicate by the District Registrar according to the Schedule hereto annexed, marked A or B; and the District Registrar shall thereupon file one original of swh ccrtificate in his office, and forward the other to the Regis-

trar-General in Adelaide, to be there filed by him; and the Registrar- negiatrar-~ener~l,

General and District Registrars shall carefully preserve all such ~

~

~

~

~

t

~

~

~

h

~

~

f

~

certificates, and classifSing those of like nature together shall number deaths. them in consecutive series according to their dates, and shall from time to time cause them so arranged to be bound in convenient

F volumes

volumes to constitute respectively the General and District Eegisters

of Births and Deaths.

artificatee, 16. f i e ry Clergyman, Officiating Minister, Ilegistering Officer of

the Society of Friends, and District Registrar, shall make out in duplicate a certificate according to t*l~e Schedule hereto annexed, marked C, of every marriage solemnized or contracted before him, and the parties contracting such marriage and also the witnesses thereto shall sign or attest their names and places of abode on such certificates, 'and such Clergyman, Officiating Minister, Eegistering Officer as aforesaid, or District Registrar shall also sign the same,

and if such marriage be solemnized or contracted beforc : Clergy- L

man, Officiating Minister or ltegistering Officer as aforesaid, he shall forthwith forward one copy of such certificatc to the Registrar of the District in which such marriage sEdl have hecn solemnized or contracted, and the duplicate to the Registrar- General; and if such rnarriagc shall have been contracted before a District Registrar, he shall file one original of every such certificatc and forward the duplicate to the Registrar-General: and the ilegist rar- General and every District Registrar shall cartfully preserve all such certificates, numbering them in consecutive scrics according to their dates, and shdl from time to time cause them so arrangcd to

be bound up in convenient volumes to constitute resvectivelv the

General and Jlistrict llcgistcrs of Marriages; and fol-' every snch

riages, General and	Re@tration of Mar- certificate the parties contracting the marriage shall yap to the
District Itegiaers. Clergyman, Officiating Minister, Registering Officer as aforesaid, or

District llcgistrar thc sum of Ten Shillings, one moiety of which

shall be retainedby such Clergyman, Officiating Illinister, R~gistering

Officer as aforesaid, or 'District Registrarhand the other moiety be by

Fee forRegi~tering him, periodically, at such times as the Governor may for that Marriage.

purpose by any regulation appoint, paid over to the Clolonial Treasurer for the support and maintenance of the General Registry Office, and for the general purposes of this Provincc.

Returns t o be fur-

17. Every Clergyman, officiating hhistcr, ltegisteving Wficcr, months, upon a day to be for that purpose by publication in the

'ishod qu~'rly.

and District Registrar shall, once in each period of three calendar

South Australian Government Gazette appointed, or within seven

days thereafter forwdrd to the Registrar-General a list authenticated by his signature of all marriages by him performed or solemnized during the preceding three calendar months; distinguishing such,

if any, as may have been performed or solemnized by licence, or a

nil account if no marriages have been performed or solemnized by

him within such period, under a penalty for every failure so to do df

a sum not exceeding Ten Pounds,

Indexes to be mede

and pemons allowed

18, The Registrar-General and everyIIistrict Registrar shall cause indexes of the registry books in his office to be made and kept with the other records of his office, and every person shall be entitled at all reasonable hours to search the said indexes, and to have a certified copy of any entry or entries in the said register books under the

to search tbem.

hand

hand of the Registrar-General or District Registrar on payment of the fecs hereinafter mentioned, that is to say-for any gencral sear& the snm of Five Shillings, and for any particular search the sum of Two Sl~illings, and for every such certified copy the sum of Five Shillings.

19. d411 certified copies of entries purporting to be under the Certifiedcopies sealed or $tankpod with the

nd and seal of the Reg i s t r a r -Gi r l or of any District Itcgistrar ,,,l ,,f,h, Register

aforesaid shall be received as evidence in any Court of Justice Oficeqor Deputy ltegibtrar's Office

thin this P~oJ-ince or its Dependencies, of the birth, death, or made evidence.

marriagp to which the same relates, without any further or other proof of such entry; and upon a certificate being made by the Registrar-Gcncra.1 that the register of births, marriages, or deaths,

for any spec:ified period, and for any particular district, is lost or

destroyed, then and in all such cases the certificate of such Registrar- General under his hand and seal sllall bu received as evidence in any Court of Justice withill this Pro~ince of the matter to which thc same relates without further proof being reyuircd; and for cvcry cer- tified copy so given under seal the Registrar-C+eneral or District ltegis- trar shall bc cntitled to reccive a fie of Seven Shillings ancl Sixpence.

20. l'very person who shall wilf'ully make, or came to be made, Penalty for wilfuIly

for the purpose of being inserted in any register of births, deaths,	giving false informs-
or marriages, any fhlse statement touching any of the particulars herein required to be known and registered, shall be subject to thc same pains and penalties as if he were guilty of' perjury.

21. Nvcry C~lergyman, 0ffici;tting Minister, or 12egistc~in~ Officer Penalty fur not dub registering births,

of the Sor3icty of Yriends, mrho ~ h d 1 omit, in dur time, to forward to death5andmarringea,

the Kcgistrax-l+cncral and District Itegistrar the original and dupli- an!' for losing and

InJlInng registers.

cate certificates herciuhefore described of any rnarria~c

solemnized bv

him, and evrrr llistrict Registrar who shall "refusc o; \ l i thut reasol;

able cause omit to register any birth, or death, or marriage of which he shall h u e had due notice as aforesaid, and every person having the custody of any register book or certified copy thereof, or of any part tllcrcof, who shall cnrelcssly lose or injure the same, or carelessly

pay a sum not exceeding Fifty Pounds for every such offence. allow the same to be injured whilst in his keeping shall forfcit and 22. Every person who shall wilfully destroy, or injure, or cause Perlalty for destroy-

to be destroyed or injurcd any such register book, or any yart, or

ing or falsifying

certified copy of any part thereof, or shall falsely make or counterfeit, or cause to be falsely rrlade or counterfeited any part of any such register book or certified copy thereof, or shall wilfully insert or cause to be inscrted in any register book or certified copy thcrcof any false entry of any birth, death, or marriage, or shall wilfully give any false certificate, or shall certify any writing to bc a copy or extract of any register book knowing the same register to be false in any part thcrcof, or shall forgc or counterfeit the ~ e a l of the Registrar-General, or of any District Registrar, shall be guilty of felony.

23. Provided

Aceidentalerrorsrnal

be corrected. 23. Provided always, that no person charged with the duty of registering any birth or death or of registering any marriage, who shall discover any error to have been committed in the form or sub- stance of any such entry shall be therefore liable to any of the penalties aforesaid, if within one calendar month next after the dis- covery of such error, in the presence of the parcuts of the child whose birth may have been so registered, or of the parties married, or of the irimate of the house or tenement where the death registered may have occurred, or in case of the death or absence of the respective parties aforesaid, then in the presence of thc Ilistrict Registrar and of two credible witnesses, who shall rtispcctively attest the same, he shall correct the erroneous entry accord- ing to the truth of thc case by entry in thc margin, wit,hout any alteration of the original entl-y, and shall sign the mar- ginal entry and add thereunto the day of the mo11th and year when such correction shall bc made, and such Ilistrict Regis- trar shall, thereupon, noti5 the particulars of such correc:tion to the Registrar-General, who shall make a marginal entry of such cor- rection in the General Register, affixing his signature, with the date of such correction.

Recovery of penalties, 24.

All fines, penalties, and forfeitrues by this Act imposccl, unless otherwise directed, shall be rccovcred before any two ,Justices of tho Peace in a surnnlary way in the manner provid~d by the laws of this Province far regulating summary proceedings before Justices of the Peace, and any person feeling aggrieved by any sumrnary judgment or conviction under this Act Inay appeal therefrom: Provided always, that nothing herein contained shall be taken to prevent the removal, by certiorari or otherwise, into thc Supreme Court of any information exhibited under the twenty-sixth section of tlic Act of this Province, intituled An Act for Regulating IIarriages in South Australia."

Pr c.

Application of fees,

&c.

25. All fines, penalties, and forfeitures levied and recovered under

this Act shall be paid to the Colonial Treasurer to be applied to the

public uses of the Province and support of the Government thereof.

SCHEDULES REFElEtRED TO.

Bornin the District of Mount Barker.

-- - -

---- --- -

Rank Chriut~nn name,

Name and Name and or Pro- R,esidonce of if any, qiven aftcl

No. UXen Knmc, if Sex. Sura%nc of Maiden Sur- fession of Parents. Registration of

Rorn. any. Father. name of Mothor. Father Birth.

__------------ --

/ _ -

l

10 Jan 5 / John Jones Ndu Thorns9 Jonea Emma Jones, Parmrr Chalk Farm,

Mouot

1	&","i1?5mit	h	Barker.
1	- --

i_---____-_lll- --

I, T h o r n ~ Jonw, nf M o l ~ u t Barker, in the District of Mount Barker, do declare tho above particulars to

bo cormcat aud true, lo alle best of my knorvletige :md belief.

TEo3nAs JONFR, ((Signature of parent or other person, ~ iv iug illformation.)

Signed in m y prcsencc, itt Strathalbya, this twentieth day of January, 1854.

HENRY DUNCAN, District Re~istrar.

B

Cer.trycc~ f r of Death. -

- - -- -

m

1X54. Uicd in the District of Mitcharn.

I	_ _-__	I___.___	- -	-- --
1

Place where

No. When Ka~no and IJsual Canse oP death oc-

died. Surnan~c. Residel~cc. Death. curred.

BU M y. 4 James Trot llale 1 52 ~ u t c l l w Tvlitcham Cholera Mitcham

l l l

-- - L- - - ---P -W -

I, Davit1 Noon, of Mitcliam, in thn Dist,ric?b of Mitcham, do c!nrtify tha t the above particulars are correct

and true. to the best, of my kuowled~e ancl belief. (Signaturv? of Informant).

Sigaed in my pwsnnco at BXitolia~n, this eightocnth day of Nay, 185,b.

HBN.KY J.\MEB, District Registrar.

-

-----------p-.--- - - - --p - P-- -

- l

1 Wlicu Nsmo and Sur- 1 ) Tract-, or ' Residence at Name and Sur- Church, Chilwl,

Xo. nrsw~ed.	name to b. written	Age	Czllioy.	l tlmc of llarriage.	n u ~ r	of lMhclr	or other ylwe, in
-	-	-	I	-	----

l~ ruu.

I - - - - - - - --- of both ptwticu. -- which solemnlzod ---

l

2 Jan. H John Proby Edward Yrohy St. Prtur's Cliuroh

to "lmw 1 Mitdmm.

Ellen Smith	I	32	1	Waltcr Smith
1	l

1

l

l l --

xarne. 'I'mrle or

Tliiy Marriage was Calhng.

7 John Yroby. I n the presence - - ---

solemnircd bc-

,/Ellm Smith. William Bull Shocrnaher

tween us

Thomw Perhcr Pxr~rier

The above-named John Proby andEllen Smith were duly marricvl hy or before mc, at the timr nnd place

above-tlamed and in the presence of the witnesses whose signitt~irei are ahovo wntton. Witness my

hand this tchh day of January. 1854. T ~ o x a s MEEK, Offici'tiilg Minister, or District Rcdstrar.

a

I, A.B. (Mniuter of or Deputy Begistrar of I

do hereby certify that I have this day baptised by the name of Thomas (or tlcart

the lzarne of Thomas hath this day heen given t o ) a male child produced to me by

WiZIiam Green, as the son of W&km Gvem and Rebecca Green, and declared by the said William Green to have been born at on the day

of 1842.

Witness my hand this day of 1842.

(Signed) A.B.

Minister or Deputy Registrar.

I, A.B., Deputy Registrar of Births and Deaths in the District of

do hereby certify that the death of Henry Hastings was duly registered by me on

the day of 1842.

Witness my hand this day of 1842.

(Signed)	A.	B. Deputy Registrar.
3"'

I, John Warner Nicholls, Coroner for the District of do

hereby order the burial of the body now shown to the Inquest-jury as the body of

Thomas Jones.

witness my hand this first day of December, 1842.

John W. &iicltolZs, Coroner.

Medical Certz$cate of the Cause of Death.

Name

Aged	-. last Birthday ; was attended by me.
Length of Residence in the Australian Colonicsc

Died on the - day of -- 185 .

Have the goodness to state

Primary discaso .. (a). . the primary, and only the

Secondary dibcases (6). . important secondary

---_- l diseases.

(if any) .. .. .. (g.. I I I

Professional Titles (if any)

Signed-?

AD~LAIDE: Printed by authority, by W. C. Cox, Government Printer, Victoria-sqrrnre.