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Approximate facsimile of the death certificate of Hannah Nicholson

CERTIFIED COPY OF AN ENTRY OF DEATH
 
  GIVEN AT THE GENERAL REGISTER OFFICE
 

                                                                                                          Application Number COL525295

  Registration District                                     Ulverstone
      1865 Death in the Sub-district of    Hawkshead in the  County of Lancaster
Columns:-                 1 2 3 4 5 6 7 8 9
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
 

 

 

                 
237 Twenty first
January
1865
ParkGate
Church
Coniston
Hannah
Nicholson
Female

73
years

Wife of John Nicholson
Agricultural Labourer

Old Age

Certified

John Nicholson
In Attendance
Park Gate
Church
Coniston

Twenty
second
January
1865

John
Taylor
Registrar

 

CERTIFIED to be a true copy of an entry in the certified copy of a Register of Deaths in the District above mentioned.

Given at the GENERAL REGISTER OFFICE, under the Seal of the said Office, the    4th     day of February  2005

              DYA 553916

 

CAUTION: THERE ARE OFFENCES RELATING TO FALSIFYING OR ALTERING A CERTIFICATE
AND USING OR POSSESSING A FALSE CERTIFICATE. ©CROWN COPYRIGHT

WARNING: A CERTIFICATE IS NOT EVIDENCE OF IDENTITY