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 |
106 | Eighth April 1866 Barkway |
William Drage | Male | 90 years | Farm Labourer |
Debility of Old Age Certified |
x The mark of Mary Howard Present at Death Barkway |
Twelfth April 1866 | Josias Johnson Registrar |