Historical information
A large lot of papers, including this and many other birth and death registration forms, were apparently found in the ceiling cavity of the Sandy Creek/Tarnagulla Post and Telegraph Office in the later 20th Century, during building works.
Donald Clark Collection.
Physical description
Registration of Death form
Name of deceased: Henry Douthat
Rank or Occupation:
Age: 5 months
Cause of Death: Bronchitis exhaustion
Date of Death: 27th November, 1871
Place of Death: Jones Creek
Place of burial: Jones Creek