Document associated with: West, S.
Record 1 of 1
System Number: 06964
Date: 20 July 1903
Author: Stanley George Moslin[1]
Place: London
Recipient: Ethel Whibley[2]
Place: Bletchley, Bucks
Repository: Glasgow University Library
Call Number: MS Whistler W953
Document Type: Ms/DS
CERTIFICATE OF DEATH.
BOOK NO. 74 PAGE 97
SUPERINTENDENT REGISTRAR'S DISTRICT - CHELSEA.
1903. DEATH IN THE SUB-DISTRICT OF CHELSEA SOUTH, IN THE COUNTY OF LONDON.
| NO. | WHEN AND WHERE DIED. | NAME AND SURNAME. | SEX. | AGE. | RANK OR PROFESSION. | CAUSE OF DEATH. | SIGNATURE, DESCRIPTION, AND RESIDENCE OF INFORMANT. | WHEN REGISTERED. | SIGNATURE OF REGISTRAR. |
| 483 | Seventeenth July 1903 74 Cheyne Walk | James Abbott McNeill Whistler | Male | 67 years | Artist (painter) | Morbus Cordis some years Cerebral embolism - sudden Certified by S. West M. D.[3] | Ethel Whibley Sister in Law Present at death Wavendon Manor Near Bletchley Bucks | Twentieth July 1903 | S. G. Moslin Deputy Registrar |
I, Stanley George Moslin, Deputy REGISTRAR OF BIRTHS AND DEATHS IN THE SUB-DISTRICT OF CHELSEA SOUTH, IN THE COUNTY OF LONDON, DO HEREBY CERTIFY THAT THIS IS A TRUE COPY OF ENTRY NO. 483 IN THE REGISTER BOOK OF DEATHS WITHIN THE SAID SUB-DISTRICT, AND I FURTHER CERTIFY THAT THE SAID REGISTER BOOK IS NOW LAWFULLY IN MY CUSTODY.
WITNESS MY HAND THIS Twentieth DAY OF July 1903
S. G. Moslin, Deputy REGISTRAR.
[stamp:] POSTAGE & REVENUE / ONE PENNY
S. G. M.[4]
20 / 7 / 03[5]
This document is protected by copyright.
Notes:
1. Stanley George Moslin
Stanley George Moslin, Deputy Registrar.
2. Ethel Whibley
Ethel Whibley (1861-1920), née Philip, JW's sister-in-law [more].
3. S. West M. D.
Dr S. West, MD, signatory of JW's death certificate.
4. S. G. M.
Written over stamp.
5. 20 / 7 / 03
Written over stamp.