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 |
254 | Twelfth August 1880 6 Queen Street Croydon |
Thomas Henry Newland | Male | 35 years | Brewers Drayman |
Acute Phthisis Certified W. ?. Jackman M.R.C.S. |
J. Newland Mother Present at Death 12 Queen Street Croydon |
Thirteenth August 1880 | Edwin Bailey Registrar |