Death of Fanny Otherwise Anne Payne


REGISTRATION DISTRICT CAMBERWELL
1937 DEATH in the Sub-district of North West Camberwell in the County of Metropolitan Borough of Camberwell

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
207 Twenty first January 1937
5 Brunswick Square		 Fanny Otherwise Anne Payne Female 82 years Widow
6 Hornby Road, Peckham of
George Payne
Builder's Labourer 		I(a) Myocardial degeneration
(b) arterio-sclerosis
Certified
J. J. McCann M.R.C.S.
A.M. Williams
Daughter
17 Howson Road Brockley S.E.4
 Twenty second January 1937 J. A. Wootton
Please note that this is not an exact transcription of the certificate but a standard layout based on the content.