Registration of Births, and c Act 1904 (SA)
ANNO QUARTO
EDWARDI V11 REGIS.
A.D. 1904.
No. 851. An Act to amend "The Registration of Births and
Deaths Act, 1874."
[Assented to, November zgth, 1904.1 E i t Enacted by the Governor of the State of South Australia,
follows: | B | |
| ||
Registrar, Assistant Registrar, or other person authorised under any Act relating to the levying, receiving, or collecting of fees for the registration of births and deaths, shall be forthwith forwarded by the persons so levying, receiving, or collecting to the Registrar- General of Births and Ileaths, at Adelaide, and shall be applied to the purposes of the General Revenue of the State: Provided, nevertheless, that when a Registrar is only an Assistant Registrar this section shall not apply |
The Registration of |
Births and Deaths Act, 1874," are hereby repealed,
3. Certificates of the registration of births and deaths shall here-Forms substituted.
after be respectively in the forms set out in the First and Second
Schedules to this Act.
In the name and on behalf of His Majesty, I hereby assent
to
this
GEORGE R. LE HUNTE, Governor.
851 FIRST
District of Adelaide.
Name, Surname, | Signature, |
Name and Sur- | Signature of |
Sex. | and Maiden Sur- | enk | Or | tion, and Reaidenae |
Re-. | RegiEtrar. |
name of Mother. | Father. | of Informant. |
June 30th, 1903, | George | Male * | John Thomas | Chemist, | James | July 15th |
at Rundle Street, | James | Brown | Brown, | Rundle Street, | Smith, |
Hindmarsh Ward, | for m erly | uncle, |
Adelaide | Smith | Brown Street, |
1 Adelaide
Entered a t the | Registry Office this 20th |
Registrar. |
Nom.-W6?n | the birth ?ke! | place in or at any public or private building used |
the name bp whlch such bulldmg
1s known must also be entered in the first column.
SECOND SCHEDULE. |
Certificate of | Death. |
Diotrict of Adelaide.
'lace where | Signature, Descrip- | Signature of Re@- |
/ | / | Age. | / pz:z. | / Usual Reaidence Csuee of Death. | tion, and Residence | trar and Date of |
Death Occurred. | of Informant. | Regietration. |
June 30th, Robert John Smith Male* 53 years. Solicitor | Heart disease | Angas Street, | John James | Max H. Wilson, |
1903 | Adelaide | ( 2 ~ e a r s ), | Youngward, | Smith, son, | July 2nd |
pneumonia | Adelaide | Brown Street, |
( 3 weeks) | Adelaide |
--
- | --- - |
- - - | --m --p | - .p - | -- |
* o r M. | Entered at the | legistry Office this 4 th day of J |
ADRIAN J. KORFF, | Registrar. |
NOTE.--When | the decessed is a young person of no occupation, or a child, or a married woman, or a widow, the | Son of |
(or wife of) John James | tailor," or | Widow of the late Thornas Jones, carpenter." | When the death takes place in or at any public or private building |
lunatic or destitute asylum,
nursing
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