|
Registration district
Sub-district |
Hatfield
Hatfield |
Administrative
area
County of Hertfordshire |
|
|
1. Date and
place of death |
|
|
Twenty-seventh
November 1995
Queen Elizabeth II Hospital, Welwyn Garden City |
|
|
|
|
|
4. |
Maiden surname
of woman who
has married |
--------- |
|
|
5. Date and
place of birth |
|
|
|
6th July 1922 |
Hertford, Hertfordshire |
|
|
6. Occupation
and usual address |
|
|
Production Controller,
( Retired )
9 Glebe Road, Bengeo, Hertford, Hertfordshire |
|
|
7. (a) Name and surname of
informant |
|
Andrea Elizabeth HUMPHREY |
|
|
(b) Qualification |
|
Daughter
Present at the death |
|
|
(c) Usual
address |
|
|
[ADDRESS IS STILL CURRENT, AND HAS BEEN OMITTED] |
|
|
8. Cause of
death |
|
1(a)
(b)
(c)
II.
|
Bronchopneumonia
Peritonitis
Intestinal Adhesions and Perforation
Ischaemic Heart Disease |
|
Certified by J A S Vick Coroner for Hitchin District after post
mortem without inquest |
|
|
9. I certify
that the particulars given by me are true to the best of my knowledge and belief |
|
|
Andrea Humphrey |
Signature
of informant |
|