Date and place of death: Thirteenth February 1985, Rossall Hospital, Fleetwood.
Name and Surname: John Edward Paine.
Date and place of birth: 29th May 1899, Blackpool, Lancashire.
Occupation and usual address: Master Tailor (retired), 20 Clayton Crescent, Blackpool.
Name and surname of informant: Charles Cooper.
Usual address: 226 Fleetwood Road South, Thornton Cleveleys, Blackpool.
Cause of Death: Ia Purulent bronchopneumonia b Calcific aortic valvular stenosis. Certified by George C. Howson, Coroner for North Lancashire, after post mortem without Inquest.
I certify that the particulars given by me above are true to the best of my knowledge and belief: C. Cooper Signature of informant.
Date of registration: Twentieth February 1985.
Signature of registrar: Doris Marsden, Registrar.
Certified to be a true copy of an entry in a register in my custody.
Doris Marsden Registrar 20 FEB 1985 Date IV 611485
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