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Transcript of GRO Death Certificate

 

REGISTRATION DISTRICT _____________WEST HAM________________________________
_1922_ DEATH in the Sub-district of _Plaistow______________ in the _County_of_West Ham  C.B.______________

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
1. Sixth
September
1922
36 Marcus
Street
U. D.
Sarah
Day
Female 75
years
Widow of
William
Day
a
General
Labourer
(1) Pleuro
Pneumonia
5 days. No P.M.
Certified by
E. R. Sircom MRCS
H. Day
Son
present at the death
36 Marcus Street
West Ham
Seventh
September
1922
Edw.Hall

Registrar

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Page last updated: 28th December 2009, e-mail: martin@hagger.org