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 |
22 | Twentieth May 1902 2 Boundary Lane |
Alfred Marcham | Male | 66 years | Wheelwright Journeyman |
Phthisis Certified H Herbert L S A |
Zipporah Marcham Widow of deceased Present at Death 2 Boundary Lane Albany Road |
Twenty first May 1902 | ? Baker Registrar |