Copy of Death Certificate for:
| Name and Surname: | George Roberts | |
| Spouse of: | Mildred Roberts - [m.s. Dyer] | |
| Date of Death: | 23/07/1919 | |
| Age: | 34 Years | |
| Place of Death: | East Cornwall Hospital - Bodmin U.D. | |
| Registration District of: | Bodmin | |
| Sub District of: | Bodmin | |
| In the County of: | Cornwall | |
| Occupation: | General Labourer | |
| Cause of Death: | Fracture of the spine and failure of respiration owing to paralysis of the abdominal muscles caused by injuries accidentally received while working in a well at Rock Lodge, Roche. | |
| Certified by: | M.F. Edyvean - Coroner for Cornwall Inquest held 24th & 25th July 1919 |
|
| Fathers Name: | William Roberts | |
| Fathers Occupation: | Tin Miner | |
| Mothers Name & Surname: | Susan Jane Roberts - [m.s. May] | |
| Name of Informant: | As Certified by M.F. Edyvean | |
| Relationship of Informant: | Coroner for Cornwall | |
| Address of Informant: | ||
| When Registered: | 25/07/1919 | |
| Registrars Name: | John Jeffery | |
| Source of information: ~ Extracted from the Register of Deaths for the District of Bodmin as per certificate held by John MacMillan. [50-01] |
| Where Buried: ~ Roche Cemetery (New) |
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