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Transcript of GRO Death Certificate

 

REGISTRATION DISTRICT _________________Royston________________________________
_1875_ DEATH in the Sub-district of _Melbourne___________ in the _County of Cambridge___________________

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
81 Twenty ninth
May
1875
Union Workhouse
Bassingbourn
Thomas
Gilbey
Male 57
years
Of No
Occupation
Congenital
Imbecility
Atrophic?
Softening of Brain
Certified by
M__? Balding
M. B. ____?
X The mark of
William Worboys
Present at the Death
Union Workhouse
Bassingbourn
Second
June
1875
John
______?
Registrar

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