Rebecca Brabazon Death Certificate 1891

NEW ZEALAND.

CERTIFIED COPY OF ENTRY IN THE REGISTER-BOOK OF DEATHS

No. 49109

In the District of ORMONDVILLE   Year, 1891

[R.G. – 4.[6148 – 36

No. (1)   29

DESCRIPTION OF DECEASED.

1.   When died. 2.   Where died.   (2)
1.   1891 17 December   2.   Ormondville

1.   Name and Surname 2.   Rank, Profession, or Occupation.   (3)
1.   Rebecca BRABAZON   2.   –

1.   Sex. 2.   Age.   (4)
1.   F   2.   84

CAUSE OF DEATH.

1.   Cause of Death. 2.   Duration of Last Illness.   3.   Medical Attendant by whom certified.   4.   When he last saw Deceased.   (5)
1.   Old age   2.   –   3.   Not certified.   4.   –

PARENTS.

1.   Name and Surname of Father. 2.   Name and Surname of Mother.   3.   Maiden Surname of Mother.   4.   Rank or Profession of Father.   (6)
1.   William JESSOP   2.   Rebecca JESSOP   3.   –   4.   Farmer

IF BURIAL REGISTERED.

1.   When buried. 2.   Where buried.   (7)
1.   20 December 1891   2.   Ormondville Cemetery

1.   Name of Minister (or Names of Witnesses) 2.   Religion of Minister.   (8)
1.   A.S. Webb   2.   Church of England

WHERE BORN.

1.   Where born. 2.   How long in New Zealand.   (9)
1.   West Meath Ireland   2.   16 years

IF DECEASED WAS MARRIED.

1.   Where married. 2.   At what Age married.   3.   To whom married.   4.   Age of Widow, if living.   (10)
1.   Castletown Geohegan Ireland   2.   32 years   3.   Robin BRABAZON   4.

If Issue living, state Ages each Sex.   (11)
M.   48   F.   42

INFORMANT.

1.   Signature of the Informant.   2.   His or her Description.   3.   Residence.   If Entry a Correction of a former Entry, Signatures of Witnesses attesting the same.   (12)
1.   John BRABAZON   2.   Son-in-law of Deceased   3.   –   4.

REGISTRAR.

1.   Signature of the Registrar. 2.   Date of Registration.   (13)
1.   R.R. GROOM   2.   DECEMBER 17 1891

I HEREBY CERTIFY that the above is a true copy of an entry of death in the Register-book kept in my office.

Given under my hand at Ormondville, this twentieth day of November, 1968

[…] Beilby [?].
Registrar.

(The fee for this certificate is $1-00.)