[Printed by authority of the Registrar General.)

CERTIFIED COPY of an».
Pursuant to the Births and

   

F Registration District BRIDGE
8 9 ‘ 0 0 . 
11__. Death 111 the SW5-district of B’*R“’

Co1umns:— 1 2 3 4 5 i
No. when 353% Where Name and surname Sex Age Occupation C
Thirteenth John Male [*7 formerly a Hepat:
$52; DUNFORD years Farmer Meme}
2 Mon‘
65 (V tif-
Bridge Arne1e'
if

Certified to‘ be a true copy of an entry in a register in my custody.

CAUTION :—-Any person who (1) falsifles any of the particulars

(2) uses a falsified certificate as true,

knowing it to be false, 151

on this certificate, or
lable to prosecution.

OIIOOIOOIOIIOICOIIIOOIOIOIO


? V
% ENTRY or DEATH

HB 983574

Deaths Registration Act 1953 P~_C£_t-
S.R.
in  COUNTY OF KENT
5 ‘ 7 8 9
Signature, description. and When Signature of
‘Sc °f death residence of informant registered registrar
; Disease Mary Ann Fourteenth C_ Holman
Dun ford June
1 1877
15 wife of Deceased
Present at the Death

?d ¥ Bridge

3 Sic-aird

IS

Registrar.
, l/

L

......................1435/M3J:‘J...........SuperintendentRegistrar.

27th March 1981

......Date.