Death Certificate

DEATH CERTIFICATES

BROWN Alexander Paul 1895    Emily Thirza 1928
BUNTING George 1895    Mary 1894
COOKE John James    Robert 1881
EATON Achsah Rhoda 1932    Matilda 1902
FULWARD Mary 1894
HENFREY Matilda 1902
PAYNE Achsah Rhoda 1932    Emily Thirza 1928    William 1843

Alexander Paul BROWN

REGISTRATION DISTRICT

Nottingham

1895

DEATH in the Sub-district of

Nottingham North East

in the

County of Nottingham

Columns: 1

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

445

First
October
1895
Borough Assylum
St. Mary
Nottingham
U.D.

Alexander
Paul
Brown

Male

40
Years

A Lace Maker
of
Castle Gate

General Paralysis
1 1/2 years
Certified by
E. Powell
M.R.C.S.

X The mark of
Sarah Jane Brown
Widow of deceased
in attendance
2 Lincoln Terrace
Alfred Street
North Nottingham

Second
October
1895

H. Clarke
Registrar

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George BUNTING

REGISTRATION DISTRICT

Chesterfield

1895

DEATH in the Sub-district of

Chesterfield

in the

County of Derby

Columns: 1

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

369

Twentyninth
March 1895
Union
Workhouse
Chesterfield
U.D.

George
Bunting

Male

73
Years

General
Laborer
of
Staveley

Senectus
Certified by
flavill_drumand
MRCSE

Robert Barradell
Master
Union Workhouse
Chesterfield

Thirtith
March
1895

WC Furnece
Registrar

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Mary Fulward BUNTING

REGISTRATION DISTRICT

Chesterfield

1894

DEATH in the Sub-district of

Eckington

in the

County of Derby

Columns: 1

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

302

Thirty first
July 1894
6 Barrow Hill
Staveley

Mary
Bunting

Female

70
Years

Wife of
George
Bunting
Coal Miner

Cancer of the Pyl*
Pertinitus
Exhaustion
Certified by
Thp Fred Nale

William Bunting
son
84 Barrow hill
Staveley

First
August
1894

Frances Shaw
Registrar

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Robert COOKE
Page 43
Death registered in the District of Carrigallen						in the Union of Mohill		in the County of Carrigallen
No.	Date and Place of Death	Name and Surname	Sex	Condition	Age last Birthday	Rank, Profession, or Occupation	Certified Causes of Death and Duration of Illness	Signature, Qualification, and residence of Information	When Registered	Signature of Registrar
	Fourteenth January 1881 Gortermone	Robert Cooke	M	Widower	81	Farmer	Bronchitis 3 weeks Uncertified No Med H	Francis Cooke Present at Death Gortermone	Twenty Seventh January 1881	Peter Reilly

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Matilda Henfrey EATON

REGISTRATION DISTRICT

Nottingham

1902

DEATH in the Sub-district of

Bulwell

in the

County of Nottingham

Columns: 1

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

140

Twentyfirst
July
1902
10 Coscus Terrace
Church Drive
Nottingham
U.D.

Matilda
Eaton

Female

20
Years

Wife of
George william
Eaton
A
Railway
Parcelporter

Child birth 60 Hours
persistant sickness
and Collapse
Certified by
Y Browne LRep

G.W.Eaton
Widower of deceased
Present at the death
10 Coscus Terrace
Church Drive
Nottingham

Twentysecond
July
1902

C. Wyles
Registrar

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John James COOKE

CERTIIFICATE OF DEATH

PLACE OF DEATH
County of Phildelphia

Registration
District no 1

Commonwealth of Pennsylvania
Department of Health
Bureau of Viatal Statistics
File No. 110911

City of Philadelphia

Registered No. 20776

FULL NAME JOHN COOK

Residence No Jefferson Hosp.

PERSONAL AND STATISTICAL PARTICULARS

Sex Male	Color or Race W	Status Married
Wife Annie Cook
DATE OF BIRTH June 14, 1880
Age Years 42
BIRTH PLACE IRELAND
NAME OF FATHER FRANCIS COOK
BIRTHPLACE OF FATHER IRELAND
MAIDEN NAME OF MOTHER ANN STEWART
BIRTHPLACE OF MOTHER IRELAND
Iformant Mrs Edith Kennedy Address 6031 No 21st ST
Filed Dec 26, 1927 H Lawrence Dep Registrar

MEDICAL CERTIFICATE OF DEATH

Date of Death Dec 24, 1927
I HEREBY CERTIFY, That I attended deceased from Dec 1, 1927 to Dec 27, 1927, that I last saw him alive Dec 24, 1927 and that death occurred on the date stated above, at 7:25 PM The CAUSE OF DEATH was as follows: Ch Pulmonary Tuberculosis Diabetis Mellatus Did an operation precede death NO Was ther and autopsy Yes Signed Robert B NyeM.D. Dec 24, 1927 address Jefferson
PLACE OF BURIAL Northwood Ceme	DATE OF BURIAL Dec. 27, 1927
UNDERTAKERKirk and Nice	ADDRESS Germantown Pa.

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Achsah Rhoda EATON PAYNE

107501

STATE OF NEW ORK
Department of Health of The City of New York
BUREAI PF RECPRDS
STAMDARD CERTIFICATE OF DEATH

No 2420 Morgan Ave.

Character of premises Private House

Registered no 539

FULL NAME Achsah Rhoda Payne

Sex F	Color or Race W	Status Married
Wife of Percy Payne
Date of Birth March 28, 1883
Age 48yrs 9mos 17da
Occupation Housewife
Birthplace England
Name of Father John S Eaton
Birthplace of Father England
Name of Mother Alice Bunting
Birthplace of Mother England

Date of Death January 15, 1932

I hereby certify that the forgoing paticulars
are correct as near as the same can be
ascertained, and I further verify that
I attended the deceased from Dec 27, 1931
Jan 15, 1932, that I last saw her
alive on the 15 day of Jan 1932
That death occurred on the date stated above at 8:55PM
and that the cause of the death was as follows:
Pulmonary Emblism
duration 1 day
Contributaory
Acute Endocardition
duration 19 days
witness my hand this 16th day of Jan, 1932 Signature Louis H Zukermann Md
Address 2021 Grand Concourse

Filed
Jan 17 1932

Place of Burial
Mount Hope Cem

Date of Burial
Jan 18, 1932

Undertaker
Thomas C Bible

Address
16 Westchester Sq

Permit 1173

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Emily Thirza BROWN PAYNE

REGISTRATION DISTRICT

Basford

1928

DEATH in the Sub-district of

Carlton

in the

County of Nottingham

Columns: 1

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

164

Fourteenth
August
1928
The Firs
Tennyson
Avenue
Gedling
R. D.

Emily
Thirza
Payne

Female

75
Years

Wife of
Alfred
Payne
A
Lace
Manuf-
acturer

1a.
b. arcerio
sclerosis
cardiac
c. Hemiplegia
no P.M.
(Degeneration)
Cercified
by W. T.
Torrance
LRCP

D.H. Gowland
Son-in-Law
Present
at the
death
Heatherton
Penn
Wolverhamp-
ton

Fifteenth
August
1928

Arthur
Holmes
Registrar

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William PAYNE

REGISTRATION DISTRICT

Basford

1843

DEATH in the Sub-district of

Satin Ann

in the

Town of Nottingham

Columns: 1

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

Thirtyfirst
January
1843
Milstone
Lane
parish St. Mary's

William
Payne

Male

4
Years

Son of
John Payne
Labourer

Cephalitis

John Payne
Present at the death
Millstone Lane
St. Mary's

eighth of
February
1843

James
Wilcockson
Registrar

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