Death Certificate

Registration District Southwark

1910 Deaths in the Sub-District of St. George the Martyr West in the County of London

NoWhen and Where Died Name and Surname Sex Age Rank or Profession Cause of Death Signature, Description and Residence of Informant When RegisteredSignature of Registrar
27 Ninth Nevember 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