REGISTRATION DISTRICT

Bolton

1917

DEATH in the Sub-district of

Horwich

in the

County of Lancaster

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

106

Twentysixth October 1917, 48 Manchester Road, Westhoughton U.D.

Ralph Ainscough

Male

76 years

Coal Miner (Retired)

(1) Heart Disease
(2) Exhaustion
Certified by J.W. Unsworth M.B.

Jas Hurst, Grandson, present at the death, 13 Chorley Road, Westhoughton

Twenty Seventh October 1917

A.W. Garthside, Registrar