Death Certificate

Registration District Southwark

1911 Death in the Sub-District of Christchurch and St Saviour 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
59 Twenty eighth May 1911
Guy's Hospital
Eleanor Rebecca Ellis Female 21 months Daughter of Henry Ellis, a Horse Keeper of King James Street, Southwark Rickets
Kerato Malacia
certified by E.P. Doulton
R J Ellis
1 King Street Southwark
Thirtieth May 1911 Fred Drewett