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 |
26 | Twenty ninth January 1880 28 West Street |
Thomas Williams | Male | 67 years | Corn Meter |
Capillary [sic] Bronchitis Certified G. Baker M.R.C.S. |
Thomas Williams Present at Death Linton House Norfolk Street Forest Gate |
Thirty first January 1880 | Thos Fredk Bradbrook Registrar |