1947-HKRS28-8-14_Part06 — Page 10

No.

Whee and

where died.

Name and

Gurname.

Sex.

Form No. 2.

SECOND SCHEDULE,

, 19

[No. 2 Register (1896).]

REGISTER BOOk of Deaths. Fons Na. 2.

Deaths in the district of

, Hong Kong

Age.

Fank, profession,

or occupation

and astionality,

so far as is known

Cause of death.

Siguatare,

description,

and residenc

of informant.

Consent give.

When registered.

Content söd Bigustare of

Registrar Registrar General Coverai.

אפי

No.

When and

white

died.

[8.4.]

When and

where died,

Name and

Kurname.

Naing and

BUTRAJNE.

, 19

Saulo.

Form No. 1.

→ 9-*

SECOND SCHEDULE.

[No. 1 Register (1896).]

REGISTER BOOK OF DEATHS. Form No. 1.

, Deathe in the district of

Aga.

Rack, professiCR,

of occupation

and nationality,

99 far se iz kzowi.

|

Cause of death,

Signaturs, description,

and residence

of informari.

When registered.

Bigustera of Registrar.

[8. 4.]

[8. 4.]

THIRD SCHEDULE.

Schedale. Third

Form No. 1.

REGISTER BOOK OF DEATHS.

Fouя No. 1,

[No. 1 Register (1984).]

, Hour Koag.

. 19

. Deathe in the district of

.Hong Kong.

THIRD SCHEDULE.

No

When and

REGISTER Book of DEATHS. FORM No 2.

[No. 2 Register (1984).]

Form No. 2

Death in the distriot of

Hong Kong.

Áza.

Bank, profession,

or occupation

sad nationality,

so far as is known.

Osum of death.

Signature,

description,

and residenČE

of informiam.

Consent given

When ragisterD.

(Consent and

Signature of

Eegistrar

Registrar Gauoral (General.

where died,

[S. 4.]

Nafce and

KFBS120,

៥.

Age.

Rank, profession,

or occupation

·and nakowality,

no far as in known.

Gause of death.

Signetero, description, and residence

of intercast.

Who registered.

Signature of

Registrar

-7-

;