Death Certificate of William Clarke (Driller)

THE BIRTHS AND DEATHS REGISTRATION ORDER OF NORTHERN IRELAND
CERTIFIED COPY OF AN ENTRY OF DEATH
DEATHS REGISTERED IN THE DISTRICT OF: URBAN #9
BELFAST
BOOK 32

NAME AND SURNAME:

William Clarke

RESIDENCE:

from 35 Comber Street

SEX:

Male

CONDITION:

Married

AGE LAST BIRTHDAY:

27 Years

PROFESSION:

Driller

DATE OF DEATH:

Seventh November 1910

PLACE OF DEATH:

Royal Victoria Hospital

CAUSE OF DEATH:

Broncho pneumonia following
injuries accidentally received
while at work at Queen's Island
5 November 1910

INFORMANT:

James Graham,
Coroner for city of Belfast.
Inquest held on 9thNovember 1910

WHEN REGISTERED:

Ninth November 1910

REGISTRAR:

J. Garriston, asst.