Certified copy of an entry of DEATH Entry No. 68 |
Registration district | Sub-district Administrative area |
Date and place of death | Name and surname | Sex | Maiden surname of woman who has married |
Date and place of birth | Occupation and usual address | Name and surname of informant | Qualification | Usual address | Cause of death | I certify that the particulars given by me are true to the best of my knowledge and belief |
Date of registration | Signature of registrar |
Hillingdon | Uxbridge London Borough of Hillingdon |
Thirtieth April 1969 Harefield Hospital Harefield |
Walter William Brind |
Male | / / / / / |
19th May 1894 Stepney |
Retired Reservoir Attendant 3 Brookdene Drive Northwood |
Lilian Maud Brind | Widow of deceased | 3 Brookdene Drive Northwood | 1a Bronchopneumonia b Parkinsonism Certified by J.S.Ashworth M.R.C.S. |
L.M.Brind Signature of informant |
Thirtieth April 1969 |
A. Walker Deputy Registrar |
Certified copy of an entry of DEATH | |
Registration district DACORUM | Sib district Dacorum admkinistrative area County of Hertfordshire |
1. Date and place of death | 2. Name and surname | 3. Sex | 4. Maiden surname of woman who has married |
5. Date and place of birth | 6. Occupation and usual address | 7 (a)Name and surname of informant | (b) Qualification | (c) Usual address | 8 Cause of death | 9 I certify that the particulars given by me are true to the best of my knowledge and belief |
10 Date of registration | 11 Signature of registrar |
Twenty-first March 1975 General Hospital West Wing Hemel Hempstead |
Lilian Maud Brind |
female | Arrowsmith | 28th October 1893 Bethnal Green |
Widow of Walter William Brind Reservoir keeper "Hazeldene" Hempstead Road, Bovingdon |
Doris Lilian Gilbert | Daughter | "Hazeldene" Hempstead Road, Bovingdon | 1a Broncho-pnuemonia b Carcinomatosis c Carcinoma of Rectum Certified by J F Gray M.B. |
D L Gilbert | Twenty-first March 1975 | B H Hible Deputy Registrar |