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 |
49 | Nov 28th |
John Pannett | Male | 77 years | Labourer |
Gravel |
William Deain (Landlord) Climping |
Decr 23 | George Grant |