Death Certificate
Registration District Southwark
1911 Death in the Sub-District of Christchurch and
St Saviour 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 |
|---|
|
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
Pneumonia
Kerato Malacia
certified by E.P. Doulton
MRCS |
R J Ellis
Mother
1 King Street Southwark |
Thirtieth May 1911 |
Fred Drewett
Registrar |