Death Registration of Archibald James Ferguson 1984

Death Registration of Archibald James Ferguson 12 January 1984

DEATHS IN THE STATE OF VICTORIA
Registered by William John GAYLOR

1. No. 1496/84

2. (1) When and where died 12 January 1984
Parkville

(2) Usual Place of Residence 5 Brown Street Newport

3. Name and Surname Archibald James FERGUSON

Occupation Boilermaker

4. Sex and age Male, 85 years

5. (1) Cause of death and duration of last illness Metastatic carcinoma (primary site unknown)
Right heart failure

(2) Legally qualified medical practitioner by whom certified and when he last saw deceased Dr. Cooper 12 January 1984

6. Name and surname of father and mother (maiden name, if know), with occupation Archibald Donald Ferguson
Agnes Elizabeth Ferguson maiden name Foster
Storeman

7. Signature, description and residence of informant Certified by
A.H. Ferguson
24 Morton Road
Burwood 3125
Son

8. (1) Signature of Registration Officer W J Gaylor

(2) Date 20 January 1984

(3) Where registered Melbourne

9. When and where buried 17 January 1984
Cremated at Memorial Park Crematorium
North Altona

Undertaker by whom certified T. Nelson

10. Name and Religion of Minister, or names of witnesses of burial J. Gaffney
K. Campbell

11. (1) Where born South Melbourne, Victoria

(2) Period of residence in Australia 85 years

12. (1) Where Married Williamstown, Victoria

(2) At what age 25 years

(3) To whom Hilda May Robinson

(4) Conjugal Condition at date of death Married

13. Issue in order of birth, the names and ages Archibald Henry 51 years
Norma May 48 years.

DEATHS IN THE STATE OF VICTORIA Registered by William John GAYLOR
1.	No.	1496/84
2.	(1) When and where died	12 January 1984 Parkville
2.	(2) Usual Place of Residence	5 Brown Street Newport
3.	Name and Surname	Archibald James FERGUSON
3.	Occupation	Boilermaker
4.	Sex and age	Male, 85 years
5.	(1) Cause of death and duration of last illness	Metastatic carcinoma (primary site unknown) Right heart failure
5.	(2) Legally qualified medical practitioner by whom certified and when he last saw deceased	Dr. Cooper 12 January 1984
6.	Name and surname of father and mother (maiden name, if know), with occupation	Archibald Donald Ferguson Agnes Elizabeth Ferguson maiden name Foster Storeman
7.	Signature, description and residence of informant	Certified by A.H. Ferguson 24 Morton Road Burwood 3125 Son
8.	(1) Signature of Registration Officer	W J Gaylor
	(2) Date	20 January 1984
	(3) Where registered	Melbourne
9.	When and where buried	17 January 1984 Cremated at Memorial Park Crematorium North Altona
9.	Undertaker by whom certified	T. Nelson
10.	Name and Religion of Minister, or names of witnesses of burial	J. Gaffney K. Campbell
11.	(1) Where born	South Melbourne, Victoria
11.	(2) Period of residence in Australia	85 years
12.	(1) Where Married	Williamstown, Victoria
	(2) At what age	25 years
	(3) To whom	Hilda May Robinson
	(4) Conjugal Condition at date of death	Married
13.	Issue in order of birth, the names and ages	Archibald Henry 51 years Norma May 48 years.