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| Year | 1914 |
| When and Where | Twentieth November 1914 , Eastville Workhouse Infirmary |
| Cause | (This information has not been transcribed) |
| Age | 72 Years |
| Occupation | Chainmaker |
| Informant | E Withers Son 5 Willway Street Saint Philip |
| Registration District | Bristol |
| Sub-District & City / County | Stapleton, Bristol |
| Source / Reference | Death Certificate |