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 |
12 | 21st November |
Grace Dunstan | Female | 88 years | Farmer's wife |
Old age |
mark of X Thomas Dunstan her Son, and Occupier of House Caroarth Mabe |
23rd November | Thomas Dunstan Registrar |