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 |
451 | Thirty first March 1866 Union Workhouse Ore |
Ann Coppard | Female | 82 years | Widow |
Old Age Certified |
Harriet Hill Present at Death Union Workhouse Ore |
Second April 1866 | John Cloke Registrar |