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 |
4 | Eighth May 1917 24 Hathaway Rd, Croydon. UD |
Susannah Chapman | Female | 88 years |
Widow
of
John Chapman Wheelwright |
Accidental fall down stairs. - fracture of femur, bedsores &c- mistook the step |
Certificate received from Thomas Jackson Coroner for Croydon Inquest held 11th May 1917 |
Twelfth May 1917 | A.E. Platts. Registrar |