Copy of an
Entry of Death.
Pursuant to the Births and Deaths Registration Acts, 1836 to 1874.
Registration District Fylde
1915. Death in the Sub-district of Blackpool
in the Counties of Blackpool C. Boro.
When and where died: Sixth June
1915, 6 Duke Street Blackpool U.D.
Name and Surname: Mary Ann Taylor.
Age: 52 years.
Rank or Profession: Wife of Frederick Taylor, General Labourer.
Cause of Death: (1) Influenza (2) Pneumonia. Certified by John F. Macgregor M.D.
Signature, Description and Residence of Informant: Harry Paine, Son, Present at the death, 16 Duke Street, Blackpool.
When registered: Seventh June 1915.
Signature of Registrar: Thomas Dixon Registrar
I, Frederick H. Brown Superintendent Registrar for the District of Fylde, in the Counties of Lancaster and Blackpool CB, do hereby certify that this is a true copy of the Entry No. 452 in the Register Book of Deaths No. 40 for the above-named Sub-district, and that such Register Book is now legally in my custody.
Witness my Hand this 15th day of June, 1920. Fredk.H.Brown Superintendent Registrar