No | When and where died | Name and surname | Sex | Age | Occupation | Cause of death | Signature, description and residence of informant | When registered | Signature of Registrar |
140 | Twenty first August 1880 10 Blackthorn Place Brook Street |
George Black | Male | 14 months |
Son of
of
George Black Fireman in Steam Ship |
Acute Pneumonia 4 days Certified Stephen F Solly L.R.C.P. Ed M.R.C.S Eng L.S.A |
H. Black Mother Present at Death 10 Blackthorn Place Ratcliff |
Twenty third August 1880 | J. W. Sivyer Deputy Registrar |