Registration of Births, Deaths, and Marriages (Amendment) Act 1934 (NSW)

REGISTRATION OF BIRTHS,

DEATHS, AND MARRIAGES

(AMENDMENT) A( T.

Act No. 43, 1934.

George V, All Act to amend the Registration of Births, Deaths, and Marriages Act, 1899, in certain respects; and for purposes connected there- W'ith. [Assented to, 14th December, 1934.]

Registration of Births, Deaths, and Marriages

515

(Amendment) Act.

No. 43, 1934.

T ) E it enacted by the King’s Most Excellent Majesty,

i l by and with the advice and consent of the Legis lative Council and Legislative Assembly of New South "Wales in Parliament assembled, and by the authority of the same, as follows ;—

1 . (1 ) This Act may be cited as the “ Registration of short title.

Eirths, Eeatlis, and Marriages (Amendment) Act, 1934',” and shall be read tvith the Registi'ation of Births, Deaths, and Marriages Act, 1899, as amended by the Registration of Births, Deaths, and Marriages (Amend ment) Act, 1930.

(2) The Registration of Births, Deaths, and Marriages Act, 1899, as so amended, is in this Act referred to as the Principal Act.

(3) The Principal Act, as amended by this Act, may be cited as the Registration of Births, Deaths, and Marriages Act, 1899-1934.

(l)	This Act shall commence upon a day to bo

appointed by the Governor and notified by proclamation

published in the Gazette.

2 . (1) The Principal Act is amended—

aSnITt̂isJ

(a) (i) by omitting from section three the defini- Sbc

. x

tion “ Parent ” and by inserting in lieu (interpieta-

thereof in the same section in appropriate

positions having regard to alphabetical

sequence the following new definitions: —

“ Parent” means, in the case of a legiti mate child, the father, or, if he is dead or absent, the mother or guardian; and, in the case of an illegitimate child, the mother.

“ Prescribed ” means prescribed by this Act or by any regulation made there under.

“ Still-born child ” means any child of seven months gestation or over not born alive, and includes any child not born alive which measures at least fourteen inches, but does not include any child which has actually breathed.

(ii)

516 Registration of Births, Deaths, and Marriages

No. 43, 1934.

(Amendment) Act.

(ii) by inserting in the definition of “ District

registrar

in the same section before tlio

word “ or ” the words	deputy district
registrar ” ;

Sec. 6.	(h) (i) by inserting at the end of subsection one of section six the words “ The Governor may also appoint persons to be deputy district registrars ” ;
registrars.)
(District

(ii) by inserting after subsection two, of the same section the following new sub sections :—

(3) A deputy district registrar shall perform the duties, have all the powers and be subject to all the responsibilities of a district registi*ar in case of death, illness or absence of the district registrar whose place he is filling.

(4) Whenever a district registrar shall die, a deputy may act until a new appoint ment has been made to the office vacated by the death, and whenever a district registrar (or, in case of illness incapacitat ing him to do so, his medical attendant) shall certify under bis hand that he, the district registrar, is unable through illness to perform his duties, or that ho, the district registrar, is about to be absent, a deputy district registrar may act until he shall receive fi-om the officer whose deputy he is a certificate under the hand of such

'	officer that he has resumed duty.
(5) A deputy district registrar shall forthwith report in Avriting to the Registrar- General when he assumes the duties of a district registrar owing to the death, illness or absence of the district registrar and the district registrar shall forthwith report in writing to the llegistrar-Gencral when he resumes the duties of his office.

(c)

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(Amendment) Act.

No. 43, 1934.

(c)	by omittiii" from subsection two of section sec. s. eight the words “ every such book sliall be (Uistiiut paged” and by inserting in lieu tliereof the agister.') Avords “ all entries in any such book shall be numbered” ;
(d)	by inserting next after section nine the follow- Xe«- s. 9a.

ing new section ;—

9a. In case any particulars required for the Distmt

purt)ose of registration of a birth or death are registrars

~ ,

1 1 1 *

•

unknown to the person Avho by this Act is particulars facts to furnish such particulars.

required to inform the district registrar, or in

case of default by that person in so informing, for purposes

the district registrar may require any person

(o)	by omitting paragraphs (a) (b) and (c) of sub- sec. ii. section one of section eleven and by inserting (Cmerai in lieu thereof the foliovA’ing new paragraphs [Kfi)!xes)

(a)	a general index of all births in Ncav

8outh Wales registered in each year ;

(b)	a general index of all deaths in New South Wales registered in each year ;
(e)	a general index of all marriages in New South Wales registered in each year;
(d)	an index of all adoptions registered in pursuance of the rules of court made under the Child Welfare Act, 1923, as amended by subsequent Acts ;
(e)	an index of all legitimations effected under the Legitimation Act, 1902 ;

(f)	by omitting section tAvehê and by inserting sec. 12. in li(;u thereof the folloAving new section :—

12. Any person on payment of the fees Seai( lies and

prescribed und(>r the Coiwej'aneing Act, 1919-' '̂ '̂'®’

1932, and on furnishing a Avi’itten memoran

dum setting out the particular entry Avhich he desires to iind or search for and the reason for Avhieh the search or a certified copy of such entry is required shall be entitled—•

(a)	at any time Avithin the hours fixed for public business to require tbc Eegistrar- General or a district registrar to search

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No. 43, 1334.

(Amendment) Act.

in the indexes and also the several registers or hooks in which such entry may appear ; and

(b)	to have a copy of that entry certified by the Ilcgistrar-General or district registrar as tlie case may be :

Provided, however, th;it if in the opinion of the llegistrar-Gencral or the district registrar the reason for wliich sucli search or certified copy is required is not sufficient the Registrar- General or the district registrar as the case may he may refuse to make the search and to famish the certified copy :

Provided farther that where in an entry of tlie birth of a child there appears the word “ illegitimate ” or any other word directly referring to the fact that such child is illegiti mate, such word shall not he included in any certified copy issued pursuant to this section.

Soc. 14.	Vo)	omitting section fourteen and by inserting in lieu thereof the following new section ;—
Bogulatioaa.	14. (1) The Registrai-General may with the approval of tlie Governor make regulations not inconsistent with this Act prescribing all matters which liy this Act are required or permitted to he prescribed or which are necessary or convenient to be prescribed for giving effect to this Act and without limiting the generality of the foregoing power in particular in relation to the following matters—

(a)	the management of the General Pi,egistry;
(b)

the duties and powers of district (2) The regulations may impose a

penalty not exceeding ten pounds for any

breach thereof.

(3) The regulations shall—

(a)	after approval by the Governor be published in the Gazette;

(b)

Registration of Births, Deaths, and Marriages

519

(Amendment) Act.

(1)) toko effect from the date of puhlica^ tion or from a later date specilied in the regulations ; and

(e)

he laid hefore both Houses of Parlia ment Avithiu fourteen sitting days after the publication thereof if Parliament is then in session, and if not, then Avithin fourteen sitting days after the commencement of the next session.

(4)	I f either House of Parliament

passes a resolution of AA’hich notice has been given at any time Avithin fifteen sitting days after such regulations have been laid l)efore such House disalloAving any regulation or pai’t thereof, such regulation or part shall thereupon cease to have effect.

(h) (i) by omitting from subsection one of section sec. ir>. iifteen tlu' Avords “ several fees specified in (Tees.) tbe Second Scbedule hereto ” and by

inserting in lieu thereof the Avords “ fees prescribed under the Convevancing Act,

1919-193Z” ;

‘

(ii) 1)A" omitting from subsection tAA’o of the same ‘section the figures “ 1898 ” and by inserting in lieu thereof the figures

“ 1902” ;

(i) by omitting section sixteen and by inserting sec. le. in lieu thereof the folloAving new section ; —

Hi. (1) No alteration shall he made in any'comn Uon of

entry' in the register of a birth, marriage, or

death, except in accordance with this section.

(2)	Any clerical error Avhieh ma_v from

time to time be discovered in any entry in the register may be corrected by the .Pegistiar- Giencral or I>y a district registrar by ruling through the erroneous particulars in sueli manner tiiat the aa hole of such particulars are readily legible, and by Avriting thereover the correct particulars verified by his initials and the date.

(3)

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No. 43, 1334.

(Amendment) Act.

(3) An error of fact or substance may, on such evidence as appears to him to be sufficient, be corrected—

(a)

by the Registrar-General in his register or in tbe copy of entry kept in the General Registry by making, signing, and dating an entry in the margin contain ing the correct particulars, and when such correction has been made by him in a copy of an entry, tbc Registrar- General shall direct tlie district registrar A\ ho lias custody of the register in Avhich the original entry was made to make, sign, and date a similar correction in that entry, and the district registrar shall carry out such direction ; or

(b)

in like manner by the district registrar having custody of the register containing the entry to be corrected, and when snch correction has been made, the district registrar shall furnish a copy of the marginal entry made by him and

.	particulars sufficient to identify the entry corrected to the Registrar- General, Avho shall make a similar correction in his register.

(4) Any person furnishing evidence for the purpose of correcting an entry may be required by the Ptegistrar-General or district registrar to sign the entry in the margin referred to in subsection three of this section.

(5) Every certified copy of an entry corrected in accordance with subsection two of this section shall omit the erroneous particulars, and every certified copy of an entry corrected in accordance with subsection three of this section shall include the matter contained in that entry and the entry in the margin.

(2)	Regulations made by tlie Registrar-General

in force at tbe commencement of this Act shall continue in force until repealed by regulations made after such commencement.

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(Amendment) Act.

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3 . The Principal Act is further amended—	Fa»'thei'
iinernlinent of
Act Xo. 17,

(a)	by omitting from subsection two of section Seo. is (-ii. eighteen the Avords “ authorised liy section (Certificatea fifteen of this Act and tlie Second Schedule

hereto ” and by inserting in lieu thereof the words “ prescribed pursuant to section fifteen of this Act ” ;

(b)

by inserting at the end of section nineteen the Sec. lo. w'ords “ In default of a parent so informing (Notice of

the district registrar within the time referred

to, the district registrar may be informed by the occupier of the house where the child Avas horn or by any person present at the birth ” ;

(c)	by inserting next after section nineteen the New as. 19a, folloAving new sections :—

19a. The birth of every still-born child shall, iiirth and

Avithin twenty-one days after the birth, be

registered in both the register of births and eiiiidrentobe

tbe register of deaths, and for all the purposes

of this Act the child shall be deemed to have

been born alive and to have subsequently died.

19j5. (1) In the case of an illegitimate child Saving for

no person shall as father of such child be

required to give information under this Act ciuia.

concerning the birth of such child, and the

district registrar shall not enter in the register

the name of any person as father of such child

unless at the joint request of the mother and

of the person aeknowledging himself to be the

father of such ehild, and such person shall in

such case sign the register together A vith the

mother.

(2) The registration of the birth of an

illegitimate child shall not include anj'^reference

to a subsisting marriage of that child’s mother.

(d) (i) by omitting subsection one of section Sic. 22 .

ler

tAventy-twoand by inserting in lieu thereof

limit of

the folloAving new subsection :•—

(1)

Xo birth shall be registered after the

expiration of six months—

(a)	following the date of such birth if it occurred in New South Wales ; or

(b)

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No. 43, IS34.

(Amendment) Act.

(b)	after tbe arrival in New South Wales of tlie cliild if born at sea or out of New South Wales,

except on the written authority of the llegistrar-General in the case of a child not over the age of seven years, and in any other case on production of an order by a judge of the Supreme Court or of a district court.

Notwithstanding anything in section twenty of this Act the declaration to found the registration may be made at any time, or if such declaration cannot be obtained the registration may be effected on such proof as to tlie Eegistrar-Geiieral or judge seems sufllcicnt.

Such written authority or order may be given or made whether the child was born before or after the commencement of the Registration of Births, Deaths, and Mar riages (Amendment) Act, 193-i.

The form of ajiplication for an order under this subsection and tbe procedure thereon shall be as prescribed by rules of court.

(ii) by inserting at the beginning of subsection two of the same section the words “ Any entry made in pursuance of this section shall set out that it is made by the written authority of the Registrar-General or in pursuance of an order of a judge of the Supreme Court or of a district court, as the case may be, and ” ;

Seo. 2.'?.

(Name given

twenty-three the words “ shall within

after registra-

lion of l)irtli.)

seven days ” and by inserting in lieu

thereof the word “ may ” ;

(ii) by omitting from the same subsection the words “ according to ” and by inserting in lieu tliereof the words “ in or to the effect of

( f ) ,

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(Amendment) Act.

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(f)	l)v omittin" section twenty-four and by insert fSec. -34. ing in lieu thereof the following new section:—

2i. Upon receipt from the master or com- Kegisinaiou

mander of any vessel of information of any

voyage to a port in New South Wales, a

district registrar shall forward such informa

tion to the llegistrar-Gencral, and tlie

hirtli on such vessel while at sea on its latesT, “ formation, Avhether from the master or commander of a vessel or from a district registrar, shall record the birth in his register.

4 . The Principal Act is further amended—

luniicr

Act No. 17,18i)9

amendment of

(a)	by inserting next after section twenty-scA'en News. 27a. the following new section : —

27a. (1) The Registrar-General shall, from liiKistmr- time to time, on application therefor furnish fiiViiilh to every h'gally qualined medical practitioner-itu .vrutk-aos printed forms of certificates of cause of deaili. liclti'r “

(2) In the case of the death of any person Avho has been attended during his last illness by a leirally qualified medical practi tioner such medical practitioner shall—

(a)	sign and deliver or forward forthwith to the district registrar a certificate in or to the effect of the form in the Ninth Schedule to this Act stating the cause of death ; and
(b)	deliver to the tenant of the house or place in Avhich the death occurred a notice in Avriting in or to the elfect of the form in the Tentii Schedule to this Act of the signing of the certificate ; and
(c)	in all cases of sudden death, or Avhere, in

the opinion of the medical practitioner,

the death has occurred under any

circumstances of suspicion, fortliAvith

report the case to the coroner.

■

(3) In the case of the death of any

person Avho has not been attended during his

last illness by a legally qualified medical

practitioner,

624 Registration of Births, Deaths, and Marriages

No. 43, 1934.

(Amendment) Act.

practitioner, a legally qualified medical practi tioner tvlio has viewed the hotly after death shall, if he is satisfied that the death was due to natural causes, sign and deliver or forward to the district registrar a certificate in or to the effect of the form in the Eleventh Schedule to this Act, and on signing and delivering or forwarding sueh certificate shali (ieliver to the tenant of the house or place where the death occurred a notice in writing in or to the elfect of the form in the Tenth Schedule to this Act.

Sec. S.	(b)	by omitting section twenty-eight and by insert ing in lieu thereof the following new section:—
Registration	2S. Upon receipt from tiie master or commander of any vessel of information of any death on such vessel while at sea on its latest voyage to a port in A’ew South 'Wales, a district registrar shall forward such information to the Ilcgistrar-General, and the Ilcgistrar- General upon receij)t of such information, whether from the commander of the vessel or from a district registrar, shall record the death in his rertister.
of dea'hs
at sea.

Seo. 20 (2).	(c) by inserting at the end of subsection two of section twenty-nine the following words and proviso : “ or if the death has been previously registered shall add to or cori-ect the entry, as the case may require :
(Inquests j

Provided that no such notification shall include anything incriminating any specified person, and that any entry already made which includes any such thing may, if the person has been acquitted of the crime, be amended by striking out the words incrimina ting such person.”

Substituted

(d) by omitting section thirty and by inserting in

s. 30.

lieu thereof the following new section :—

ertificate?

30.

(1) Every district registrar immediat(dy

Ol death.

upon registering any death or as soon thereafter as he is required so to do sliall, Avithout fee or retvard. deliver to the person giving information of death, a certificate under his hand according

Registration of Births, Deaths, and Marriages

525

(Amendment) Act.

No. 43, 1934.

to llie form in the Sixtli Schedule liereto, tliat such death has heen duly reuistered, and such ]K'r.sou shall d(diver the certificate to the \mdertakcr or other person having charge of the funeral or in a case where the dead body is to he cremated, to the medical referee hy whom the cremation is to be authorised.

(2) A coroner or magistrate holding an inquest or inquiry upon any dead body may order tbe body to be buried before registration, and shall in such case give a certificate of his order in writing under his hand in or to the effect of the fonn in the Seventh Schedule.

(3) (a) A person shall not bury any dead body or cause any dead body to be buried unless there is delivered to him—

(i) the certificate referred to in subsection one of this section ; or

(ii) an order hy a coroner or magistrate in accordance with subsection two of this section ; or

(iii) a notice in writing of the signing of a medical certificate in accordance with section 27a of this Act.

(b) Nothing in this section shall prevent the burial of the body of a person Avhose death did not occur within a city, town, or village, or within ten miles of tbe residence or ollicc of a coroner, magistrate, or a district registrar, but in any such case the person who buries the body shall forthwith report the facts to the officer in charge of tbe nearest police station.

(4) The certificate, order or notice, as the case may he, required to be delivered by paragraph (a) of subsection tliree of this sec tion, shall be produced by the undertaker or other person having charge of the funeral fo the minister or officiating person who per forms any religious service for the burial. If any dead body is buried for which no such certificate as is referred to in subsection one of this section is produced, the minister or

o'thoi

526 Registration of Births, Deaths, and Marriages

No. 43, 1934.

(Amendment) Act.

other officiating person shall forthwith give,

notice of the facts to the district registrar.

(5) Every undertaker or other person who buries or otherwise disposes of any dead body shall forthwith cause to be transmitted to the district registrar a certificate in or to the effect of the form in the Eighth Schedule countersigned hy two Avitncsses.

(6) In a case where the dead body is cremated, the superintendent or officer in charge of the crematorium shall forthwith cause to he transmitted to the district regis trar a certificate in or to the effect of the form in the Twelfth Schedule.

(7) In a case where a dead body is laid in a mausoleum, the superintendent or officer in charge of the mausoleum shall forthwith cause to he transmitted to the district registrar a certificate in or to the effect of the form in the Thirteenth Schedule.

Sec. 31.	(e) hy omitting section thirty-one and hy inserting in lieu thereof the following section :—
Registration

of minister of	31. (1) The Eegistrar-General upon a requi sition in that behalf may register as a minister for celebrating marriage's within IS’ew South Wales any minister of religion ordinarily officiating as such.
religion.
The registration may he made without foe or reward in a register l)Ook kept for the purpose and where made shall comprise the particulars specified in sulesection two of this section.
(2) The requisition shall he in writing and shall specify the full name, religious de nomination, designation, and residence of the minister.
(3) The requisition shall be supported hy evidence to the satisfaction of the Ilegistrar- General as to the matters stated in tlie requisi tion.

Sec. 32.

(f)

hy omitting section thirty-two and hy inserting in lieu thereof the following section : —

Charge of

reside) ce, &c.

32. (1) Whenever any minister so regis

tered ceases to he designated hy tlie name or

description

Registration of Births, Deaths, and Marriages

527

(Amendment) Act.

No. 43, 1934.

description appearing in the register hooV, or changes ids address, he shall within three months thereafter cause his name, designation, and new residence to he registered anew with the Eegistrar-General.

(2) If a minister fails to comply with the provisions of subsection one of this section the Eegistrar-General may cancel his registra tion, and thereupon he shall be deemed not to be registered within the meaning of the Marriage Act, 1899.

(g)

(i)

by omitting subsection two of section thirty- Sec. :?4.

f o u r *

(A nnua l l ist

(ii)

by omitting from subsection four of tbe same section the following words: “ or resides in another district than the one within Avhich he was last registered as residing ”

(h)

by omitting from section thirty-seven the words Seo. 37.

“ shall forfeit a sum not exceeding ten pounds

(Oifences.)

and by inserting in lieu thereof—

(c)	contravenes any provisions of this Act,

shall b(i liable to a penalty not exceeding

twenty pounds.

(i) by omitting the Second Schedule; (i) by omitting the Eourth Schedule ; (k) by omitting tbe Eifth Schedule ;

()) by omitting the Eighth Schedule and by Eighth inserting in lieu thereof the following

Schedule.

Schedule:—■

EIGHTH SCHEDULE.

I A..B. f)f

undertaker do liereby certify Sec, 30 (5).

that the body of C. I >. was on the

day of

duly I

•’ I delivered to the crematorium or mausoleum

at	in the presence of the undersigned.

Witness our hands tliis

day of

, 19

(Signed) A.l>. Undertaker*

e were present at the above burial (or delivery).

Signature	Address!
Signature	Address!

• If working for an employer give name of employer.

Tile undertaker signing tlie certificate must be the person wlio

eomlucled the funeral and not his employer.

+ The address sliordd be tiie full address. '

Tlie witnesses must lie persons who were present at tlie funeral.

(m)

528 Registration of Births, Deaths, and Marriages

No. 43, 1934.

(Amendment) Act.

(m)	hy insevtine next after the Eighth Schedule the following new Schedules :—

NIN TH

SCHEDULE.

I Registrar to enter No,

Seo. 27a.

of Death Entry.

(Front oj Form.)

M edical C er tific a te of Cause of D ea th .

(For use only by a legally qualiGed medical practitioner who has been in attendance during the decea-sed’s last illness, and to be delivered or forwarded by him to the District Registrar of Births, Deaths, and Marriages direct )

Name of deceased

Date of death as stated to me

day of

, 1 9 .

Age as stated to me

Place of death

I f

n rv

Seen*

Last seen alive by me

day of

. 19

Not seen* after

death by me.

Post-mortem not held*

held*

Cause of Death.

Duration of Disease.

Years. Months. Days.

Immediate causef	...	...
Morbid conditions, if any, giving (a)	...

rise to immediate cause (stated

in order proceeding backwards (b)	...
from immediate cause)

(c)

...

II.

o ther morbid conditions (if im portant) contributing to death but not related to immediate cause

...

I hereby certify that I was in medical attendance during the above- named deceased’s last illness, and that the particulars and cause of death above written are true to the best of my knowledge and belief.

Signature

Residence

Date

• Strike out whichever is ir,applicable.

•j' Tiiis means the disease, injury, or complication which cause 1 death, not the

mode of dying, as, e.g., heart failure, a.sphy>.ia, asthenia, &c.

(Back

Registration of Births, Deaths, and Marriages

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(Amendment) Act.

No. 43, 1934.

[Back n f Form.)

(Fill up where applicable,)

(Fill up where applicable.)

I may be in a po.sition later

A.	to give, on application by the

I have reported tlii.s ca.se

Registrar-General, additional

to the Coroner.	information as to cause of death for the purpose of more precise statistical classifica tion.
(Initials of Certifyiii"	(Initials of Certifying
Medical Practitioner.)	Medical Practitioner.)

TENTH SCHEDULE.

s«.2-a.

! N otice of S ioning op M edical C ek tificate of C ause op D e a th .

I hereby give notice that I have this day signed a Medical Certifi cate of the Cause of Death of (name and address) deceased, who died at (place) on (date).

Medical Practitioner.

A ddress

Date

Ket^istrar to enter No.

Sec. 2Ta (3),

ELEVENTH SCHEDULE.

of Death Entry,

{Front of Form.)

M edical Certific a te op C ause of D e .atii.

(For use only by a legally qualified medical practitioner who has viewed the body of the deceased after death, and to bo delivered or forwarded by him to the District Registrar of Births, Deaths, and Marriages diiect.)

Name of deceased

Date of death as stated to me	day of
Age as stated to me

Place

530 Registration of Births, Deaths, and Marriages

No. 43, 1934.

(Amendment) Act.

Place of death

Last seen alive by me

day of

,19

Post-mortem not held*

held*

(tause of Death.

Duration of Disease.

Years.

Months. 1

Days.

Immediate cause

Morbid conditions, if any, giving

rise to immediate cause (.stated

in order proceeding backwards

from immediate cau.se)

... (a)

(b )

IT.

Other morbid conditions (if im

portant) contributing to death

but not related to immediate

I hereby certify that I viewed the body of the above-named deceased after death, and that the particulars and cause of death above svritten are true to the be.st of my knowledge and belief.

Signature

Eesidence

Date

• Strike out whichev er is inapplicable.

I This means the di.sease, injury, or complication which caused death, not the

mode of dying, as, e.g., heart failure, asph3’xia, asthenia, &c.

{Back o f Form.)

(Fill up where applicable.)

1 may be in a position later to give, on application by tbe Registrar-General, additional

I have reported this ca.se to

information as to cause of

the Coroner.	death for tlie purpose of more precise statistical classifica tion.
(Initials of Certifying	(Initials ot Certifying
IMeuical Practitioner.)	Medical Practitioner.)

TWET.FTII

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(Amendment) Act.

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TWELFTH SCHEDULE.

30 (0).

C e R TJFIC A 'I’K

a s

t o

C itE .M A T lO N .

f SupcrintiMulent

( Otticer in charge

)

do liereby certify that the l)ody of

of No.

Street

was on the

day of

duly cremated

at	in the presence of the undersigned.

Witness our hands this

day of ̂

(Superintendent)

(Othcer in charge)

•W itn e s s

* The witness must be a j^erson who wa? present a t the ereniation.

THIRTEENTH SCHEDULE.

So. soct).

C e r t i f i c a t e

a s

t o

L a y i n o

i n

M a u s o l e u .m .

( Superintendent

)

/ i i

?• of

(address)

( Orheer in charge )

■

do hereby certify that tlie body of

of No.

Street

was on the

day of

duly

laid in the niausoleuni at

in the presence of the undersigned.

Witness our hands this

day of

•	(Superintendent) (Ollicor in charge)

•Witness

• The witness must be a person who was present at the mausoleum when tbe bedy w as duiy

laitl theieiii.

(n)

by omittiii" from section one the figures Sec. i.

“ 3 6 ”

and l i y

inserting

lieu

thereof the ( ite v is io n .)

figures and letter “ 3Ga.”

AUCTIONEERS’