No | When and where died | Name and surname | Sex | Age | Occupation | Cause of death | Signature, description and residence of informant | When registered | Signature of Registrar |
143 | Twenty first November 1918 102 Brookmill Road |
Kathleen Mabel Alice Olliver | Female | 9 months |
Daughter of
of
Thomas Bushby Olliver Electrician |
1 Acute Bronchitis 15 days 2 Exhaustion No PM Certified F. Hudson Evans MRCS |
M. A. Olliver Mother Present at Death 102 Brookmill Road |
Twenty third November 1918 | J. E. Wates |