Registration District
Lambeth
1909
Death in the Sub-district of
Lambeth Church 1st
in County of London
| Number | 68 |
| When and where died |
27 August 1904
8 Lambeth Walk |
| Name and Surname | James Bain |
| Sex | Male |
| Age | 67 years |
| Occupation | formerly a Bricklayer |
| Cause of Death |
Chronic Gout 20 years
Acute diarrhoea 7 days Exhaustion Certified by R.G.Reid MB |
| Signature, description and residence of informant |
E.J.Bain
Widow of deceased
Present at the death 8 Lambeth Walk |
| When Registered | 29 August 1904 |
| Signature of Registrar | P.W.Ayers, Registrar |
GRO S1904 - Lambeth 1d 184