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 |
141 | Third December 1864 Union Workhouse Lewisham |
John Shorter | Male | 75 years | General Labourer |
Chronic Disease of Heart Certified |
William White Present at Death Union Workhouse Lewisham |
Sixth December 1864 | James Belcham Registrar |