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 |
5 | Seventh May 1902 2 Boundary Lane |
John Marcham | Male | 63 years | Oil and Colourman Retired |
Rupture of blood vessel in lungs |
J. A. Marcham Widow of deceased 2 Boundary Lane Camberwell |
Eighth May 1902 | ??? Registrar |