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Transcript of GRO Death Certificate

 

REGISTRATION DISTRICT ________________PADDINGTON____________________________
1906  DEATH in the Sub-district of _St Mary Paddington________ in the _County of London________________

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
30 Fifteenth
February
1906
Workhouse
Frederick
Mills
Male 86
years
Laborer
27 Ranelagh
Road
Senectus
Congestion of Lungs
Certified by
M.A.Squire
M. D.
A. Mills
Daughter in Law
  110 Earl Street
Marylebone
Sixteenth
February

1906
Wm Kirk Registrar

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