Certified Copy of an entry of Death

Supplied at the special fee of 2/- applicable in certain statutory cases.

This certificate is issued for the purpose of
Post Office Savings Bank
The registration officer must state here the statutory purpose for which the certificate is issued.

DEATH Entry No.82

Registration District Oxford Administrative Area Oxford Sub-district Oxford

1. Date and place of death Twenty third September 1969 Radcliffe Infirmary Oxford

2. Name and surname Reginald Hubert Moyise

3. Sex Male

4. Maiden Surname of woman who has married

5. Date and place of birth 31st May 1895 Battersea

6. Occupation and usual address A retired storeman. 7 Ludsden Grove Thame

7 (a) Name and surname of informant Lilian Alice Foster
(b) Qualification Sister
(c) Usual address 8 Cantley Close, Aylesbury, Berks

8. Cause of death (a) Bronchial pneumonia (b) Chronic Bronchitis
Certified by John Tallsat BM

9. I certify that the particulars given by me above are true to the best of my knowledge and belief L A Foster [signature]

10. Date of registration Twenty fourth September 1969

11. Signature of registrar Philip S Joyce Registrar