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Transcript of GRO Death Certificate

 

REGISTRATION DISTRICT _________________West Ham______________________________
_1932_ DEATH in the Sub-district of _Forest Gate____________ in the _County_of_West Ham__________________

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
310 Thirtieth
November
1932
19 Evesham
Road
U D
Thomas
John
Butler
Male 83
years
Retired
Municipal
Gardener
1a Chronic Bronchial
catarrh
b General Arthersclerosis
c Heart Failure
Certified by
Frederick Gover LRCP
Alice Butler
Widow of Deceased
Present at the Death
19 Evesham Road
Stratford
First
December
1932
A Fardle?

Registrar

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