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Transcript of GRO Death Certificate

  

REGISTRATION DISTRICT __________________West Ham_____________________________
_1906_ DEATH in the Sub-district of _North Leyton__________ 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
51 Fourth
March
1906
Union
Infirmary
U D		 William
Day		 Male 65
years		 House Decorator
(Journeyman)
of
40 Arthingworth
Street
West Ham U D		 Epithelioma
of Tongue
Exhaustion
Certified by
P.R. Blake M.R.C.S.		 S. Day
Daughter
40 Arthingworth Street
West Ham		 Fifth
March
1906		 C.H. Perrin
Registrar

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