212728-1934-Supplementary-Draft-Bills--Exchanges-Trustee-Defence-Contribution-Amendment-Births-and-Deaths-Registration — Page 70

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525

FORM No. 12.

Order for burial of body.

[s, 17 (1).]

I, A.B., a Magistrate of Hong Kong do hereby order the burial lor cremation] of the body now shown for reported to me as the body of

Dated the

day of

19

+

(Signed.)

A.B., Magistrate.

FORM No. 13.

Certificate of Registration of Death.

Name of deceased person

Sex

[s. 17 (2).]

Age

Date of death.......

Date registered

Address at death

Signature of Registrar

This certificate must be produced on demand by a Police Officer

to prove that the name of the person entered has been registered.

此執照如遇警弁索閱須交出察看

以証明上開之人名經已註册

FORM No. 14.

Certificate of still-birth.

[s. 18 (1).]

I, A.B., registered medical practitioner in the Colony of Hong Kong, hereby certify that I was in attendance at the birth of the child of Mrs. C.D. [or have examined the body of the child of Mrs. C.D. and that such child was not born alive.

Dated the

day of

19

1

(Signed.)

A.B., Registered medical practitioner.

Page 70Page 71

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