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Transcript of GRO Death Certificate

REGISTRATION DISTRICT ___________________Romford__________________________________
_1861_ DEATH in the Sub-district of __Ilford_________________ in the __County of Essex____________________

No. 1
When and
where died		 2
Name and surname		 3
Sex		 4
Age		 5
Occupation		 6
Cause of death		 7
Signature, description and
residence of informant		 8
When
registered		 9
Signature of
registrar
184 Third
April
1861
Tanners
Lane
Ilford		 David Day Male 46
years		 Labourer Pneumonia
30 days
Abscess in Lung
15 days
certified		 X The mark of
Susan Day
present at the death
Tanners Lane Ilford		 Tenth
April
1861		 Charles
Coxhead
Registrar

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