REGISTRATION DISTRICT

Lothingland

1912

DEATH in the Sub-district of

Mutford

in the

County of East Suffolk

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

201

Twenty eighth March 1912, 500 London Road, South, U.D.

Raymond Broughton

Male

69 years

Blacksmith
(Journeyman)

Chronic Bronchitis, Cardiac failure, Certified by Harold C. Barraclough, M.B.

K.L. Knights, Daughter, In Attendance, 500 London Road, South, Lowestoft

Twenty ninth March 1912

C.E. Allerton
Registrar