Death Registration of Donald Kenneth Ferguson 1972

Death Registration of Donald Kenneth Ferguson 25 May 1972

DEATHS IN THE STATE OF VICTORIA
Registered by John James Crombie

1. No. 12794/72

2. (1) When and where died 25th May, 1972,
Parkville,

(2) Usual Place of Residence 66 Salisbury Street, Moonee Ponds,

3. Name and Surname Donald Kenneth FERGUSON,

Occupation Clerk,

4. Sex and age Male, 66 years.

5. (1) Cause of death and duration of last illness Carcinoma of lung - 3 years,

(2) Legally qualified medical practitioner by whom certified and when he last saw deceased E. Carse, 25th May, 1972.

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
L.E. Ferguson,
66 Salisbury Street,
Moonee Ponds.
Wife.

8. (1) Signature of Registration Officer J Crombie

(2) Date 19th June, 1972.

(3) Where registered Melbourne

9. When and where buried 26th May, 1972.
Fawkner Cemetry,

Undertaker by whom certified G. Allison,

10. Name and Religion of Minister, or names of witnesses of burial H.Allison, B. Pascoe.

11. Where born, and how long in the Australian States, stating which South Melbourne, Victoria,
66 years in Victoria.

12. (1) Where Married Essendon, Victoria,

(2) At what age 22 years,

(3) To whom Laurel Eileen Anderson

(4) Conjugal Condition at date of death Married,

13. Issue in order of birth, the names and ages Donald Stuart 42 years,
Kenneth James 41 years.

DEATHS IN THE STATE OF VICTORIA Registered by John James Crombie
1.	No.	12794/72
2.	(1) When and where died	25th May, 1972, Parkville,
2.	(2) Usual Place of Residence	66 Salisbury Street, Moonee Ponds,
3.	Name and Surname	Donald Kenneth FERGUSON,
3.	Occupation	Clerk,
4.	Sex and age	Male, 66 years.
5.	(1) Cause of death and duration of last illness	Carcinoma of lung - 3 years,
5.	(2) Legally qualified medical practitioner by whom certified and when he last saw deceased	E. Carse, 25th May, 1972.
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 L.E. Ferguson, 66 Salisbury Street, Moonee Ponds. Wife.
8.	(1) Signature of Registration Officer	J Crombie
	(2) Date	19th June, 1972.
	(3) Where registered	Melbourne
9.	When and where buried	26th May, 1972. Fawkner Cemetry,
9.	Undertaker by whom certified	G. Allison,
10.	Name and Religion of Minister, or names of witnesses of burial	H.Allison, B. Pascoe.
11.	Where born, and how long in the Australian States, stating which	South Melbourne, Victoria, 66 years in Victoria.
12.	(1) Where Married	Essendon, Victoria,
	(2) At what age	22 years,
	(3) To whom	Laurel Eileen Anderson
	(4) Conjugal Condition at date of death	Married,
13.	Issue in order of birth, the names and ages	Donald Stuart 42 years, Kenneth James 41 years.