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 |
249 | Twenty third September 1891 St Saviours Union Infirmary |
Robert Fiveash | Male | 41 years |
Line Worker
25 Portland St |
Pthisis Certified C. Gross M.D. |
F. Fiveash Widow of deceased Present at Death 25 Portland Street, Walworth |
First October 1891 | C H Grery Registrar |