Page last updated 31/05/07

Approximate facsimile of the death certificate of John Nicholson

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

                                                                                                          Application Number COL525300

  Registration District                                     Ulverstone
      1866 Death in the Sub-district of    Ulverstone 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
 

 

 

                    
444 Third
January
1866
Quebec Street
Ulverstone		 John
Nicholson		 Male

77
years

General Labourer

Senile Decay

Certified

X The Mark of
Elizabeth Denny35
      Denney
Present at Death
Quebec Street
Ulverstone

Fifth
January
1866

James Riley
Registrar

 Thirty Five
J.R.

 

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    23rd     day of February  2005

              DYA 578904

 

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