Partial Transcript
No. | Name and surname | Rank or profession, and whether single, married, or widowed | When and where died | Sex | Age | Name, surname, and rank or profession of father | Name, and maiden surname of mother | Cause of death, duration of disease, and medical attendant by whom certified |
Signature and qualification of informant, and residence, if out of the house in which the death occurred | When and where registered and signature of registrar |
---|---|---|---|---|---|---|---|---|---|---|
36 | Charles | (Single) | 1877, June Third 2h 0m pm |
M | 9 months | John Durie | Jane Durie | Infantile Convulsions 1 Day |
John Durie | 1877, June 4 |
Durie | 41 Muir Street Motherwell |
Joiner (Journeyman) | MS Tear | As cert. by A. Wilson M.B.C.M. | Father | at Dalziel [Signature] |