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 |
200 | Twenty ninth May 1863 Brightling |
Jane Fuller | Female | 38 years |
Wife
of
John Fuller Agricultural Labourer |
Dropsy diseased heart Certified |
+ the mark of James Fuller Present at Death Brightling |
Thirtieth May 1863 | John Foord Registrar |