Registration District
Islington
1909
Death in the Sub-district of
Upper Holloway
in County of
London
| Number | 376 |
| When and where died |
Twenty eighth February 1909
Holborn Infirmary |
| Name and Surname | Charlotte Ann Scriven |
| Sex | Female |
| Age | 69 years |
| Occupation |
Widow of John Scriven
a Clockmaker (master) of 26 Hermes Street Clerkenwell |
| Cause of Death | Cerebral Haemorrhage Certified by J.S.Williamson LRCP |
| Signature, description and residence of informant |
C.A.J Scriven
Daughter 10 Arundel Place Islington |
| When Registered | First March 1909 |
| Signature of registrar | A.?.Bodimeade Registrar |
GRO Ref: M1909 - Islington 1b 184