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Grace Heels Death Certificate

Production date

2nd October 1984

Object number

2014.296

Physical Description

Death certificate for Grace Heels

Associated Organisation

Associated Person

Grace Heels (Subject of)
Radcliffe, Gladys (Mrs) (Featured)

Associated Place

Material

Paper

Dimension

Width (Whole): 210mm
Height (Whole): 285mm

On display?

No

Inscription

D. Cert.
R.B.D.


CAUTION—It is an offence to falsify a certificate or to make or knowingly use a false certificate or a copy of a false certificate intending it to be accepted as genuine to the prejudice of any person, or to possess a certificate knowing it to be false without lawful authority.



CERTIFIED COPY OF AN ENTRY
Pursuant to the Births and Deaths Registration Act 1953


DEATH

Entry No. 50


Registration district Administrative area

Sub-district HACKNEY LONDON BOROUGH OF HACKNEY
HACKNEY



1. Date and place of death

First October 1984
St. Matthews Hospital Shoreditch

2. Name and surname

Grace Salome Heels.

3. Sex

Female


4. Maiden surname of woman who has married —


5. Date and place of birth

14th January 1895 Hackney


6. Occupation and usual address

Clerical officer (retired)

St. Matthews Hospital. Shepherdess Walk. N1


7. (A) Name and surname of informant

Gladys Joan Radcliffe

(B) Qualification

Niece.

(C) Usual address

125A Main Street Balderton. Newark. Notts.



8. Cause of death

Bronchopneumonia
Congestive Cardiac Failure
Ischaemic Heart Disease
11. Diabetes Mellitus
Certified by S. Gupta MBBS


9. I certify that the particulars given by me above are true to the best of my knowledge and belief.

Gladys J. Radcliffe Signature of informant

10. Date of registration

Second October 1984


11. Signature of registrar

Registrar




Certified to be a true copy of an entry in a register in my custody.

Registrar 2.10.1984 Date IV 335558