212881-1934-Supplementary-Bill-read-a-first-time--Births-and-Deaths-Registration — Page 15

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FORM No. 12.

Order for burial of body.

[s. 17 (1).]

I, A.B., a Magistrate of Hong Kong do hereby order the burial for cremation] of the body now shown [or 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.

此執照如遇醫弁索閱須交出察看

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

(Signed.)

A.B., Registered medical practitioner.

!

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