700403-1872-Registration-of-Births-and-Deaths-Ordinance- — Page 5

THE HONGKONG GOVERNMENT GAZETTE, 27TH JULY, 1872.

SCHEDULES TO WHICH THIS ORDINANCE

REFERS.

1872.

SCHEDULE A.

BIRTHS IN THE DISTRICT OF

HONGKONG.

Name and

Name

Name and

Maiden

No.

When born.

if any.

Father. Sex. Surname of

Surname

of Mother.

Rank or

Profession

of Father

Signature, Description and| Residence of

When

Registered.

Informant.

1 7th January. James. Boy |

William

Green.

Carpenter.

Rebecca Greenformer- ly Jennings.

NOTE.-The words and figures in Italics in this Schedule to be filled in as the case may be.

William Green, 9th January. John Cox,

added after Regis- tration of Birth.

Signature of Registrar.

Baptismal Name, if

Father, 12,

Queen's Road.

Deputy

Registrar.

SCHEDULE B.

DEATHS IN THE DISTRICT OF

HONGKONG.

No.

When Died.

Name and

Surname.

Sex.

Age.

Rank and

Profession.

Cause of

Death.

Signature, Description and| Residence of Informant.

When

Registered.

Signature of

Registrar.

17 4th February.

William

Green.

Male.

43

Carpenter.

Rebecca Green, 5th February.

John Cox,

Widow,

Registrar.

Queen's Road.

SCHEDULE C.

1, Gilbert Elliott, Colonial Chaplain of Hongkong, do hereby certify, that I have this Day baptised by the Name of Thomas a male child, produced to me by William Green, as the Son of William Green and Rebecca Green, and declared by the said William Green to have been born at Hongkong on

Day of

1872.

the

Gilbert Elliott,

Chaplain.

SCHEDULE D.

1 John Cox, Registrar of Births and Deaths in the District of

do hereby certify that this is a true Copy of the Registrar's Book of Births (or Deaths) within the said District, from the Entry of the Birth (or Death) of James Green, No.

to the Entry of the Birth (or Death) of

William Strange, No.

Witness my Hand this

duly registered by me on the

Witness my Hand this

Day of

18

John Cox,

Registrar.

SCHEDULE E.

1 John Cox, Registrar of Births and Deaths in the District of

Hongkong, do hereby certify, that the Death of Henry Hastings has been

Day of Day of

18

18

John Cox,

Registrar.

SCHEDULE F.

1 Alfred Lister, Coroner for the Colony of Hongkong, do hereby order the Burial of the Body now shown to the Inquest Jury as the Body of Ho Chi.

Witness my Hand this

Day of

18

Alfred Lister,

Coroner.

NOTE.-The words and figures in Italics to be filled in as the case may be.

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