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CERTIFIED COPY OF AN ENTRY OF DEATH |
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DATE AND PLACE OF DEATH:
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First November 1984
15 Hanover Lodge, St. Cross Road, Winchester |
| NAME AND SURNAME: | Alice Catherine WILLIAMS |
| SEX: | Female |
| MAIDEN SURNAME OF WOMAN WHO HAS MARRIED: |
CLEAVER |
| DATE AND PLACE OF BIRTH: | 5th July 1889, London |
| OCCUPATION AND USUAL ADDRESS: | Surgical Appliance Manufacturer (Retired) Widow of Edward James WILLIAMS, Surgical Appliance Manufacturer 15 Hanover Lodge Winchester, Hants. |
| NAME AND SURNAME OF INFORMANT: | Barbara Enid DAVIS |
| QUALIFICATION: | Daughter Present at the death. |
| USUAL ADDRESS OF INFORMANT: | 18 Manor Road, East Molesey, Surrey |
| CAUSE OF DEATH: | 1a Cerebrovascular accident b Atherosclerosis |
| Certified by F. Burrows M.B. | |
| I certify that the particulars given by me above are true to the best of my knowledge and belief... B. E. DAVIS...Signature of informant. |
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| DATE OF REGISTRATION: | Second November 1984 |
| SIGNATURE OF REGISTRAR: | JOHN MCLARUM (?) Deputy Interim Registrar |
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