Death Certificate
Registration District Southwark
1910 Deaths in the Sub-District of St. George the Martyr West in the County of London
| No | When and Where Died |
Name and Surname |
Sex |
Age |
Rank or Profession |
Cause of Death |
Signature, Description and Residence of Informant |
When Registered | Signature of Registrar |
|---|
|
27 |
Ninth November 1910
3 Queens Buildings, Collinson Street |
Kathleen Rose Ellis |
Female |
15 days |
Daughter of Henry Ellis, a Van Washer |
Suffocation by being deprived of fresh air while in bed with mother and another child
P.M. Misadventure |
Certificate received from F J Walds
Coroner for Southwark
Inquest held 11th November 1910 |
|
C E[?] Jones
Registrar |