| Surname of Deceased | Cross |
| Full given Name | Ivy Constance |
| Place of Death | 3 Elm street |
| Female English Single | |
| Age | 1 yrs. 2 mos. |
| Place of Birth | Stratford |
| Date of Birth | 16 Sept. 1919 |
| Length of Residence | life |
| Name of Father | Thomas William Cross |
| Birthplace of Father | England |
| Maiden Name of Mother | Edith Gertrude Allen |
| Birthplace of Mother | England |
| Name of Informant | T.W. Cross |
| Address | Stratford |
| Relation to Deceased | father |
| Place of Burial | Stretford |
| Date of Burial | 8 November 1920 |
| Name of Undertaker | C.N. Greenwood |
| Address | Stratford |
| Date of Death | 6 November 1920 |
| Name of Deceased | Ivy Constance Mabel Cross |
| Dates from which to which Medical Practitioner Attended Deceased | 25 October to 6 November |
| Cause of Death |
Enter Colities 14 dys.
Acute execerbatim of the deceased 1 dys. |
| Did an operation precede death? | No |
| Was there an autopsy? | No |
| Name of Physician | W.T. Gemmell |
| Address | Stratftord |
| Date of Return | 8 November 1920 |
| Date received by Division Registrar | 8 November |
Source: Ancestry - Ontario, Canada, Deaths and Deaths Overseas, 1869-1948 f