England, death certificate (certified copy) for Sarah Staines, died 10 September 1874; registered 12 September 1874. Stourbridge District district, Kingswinford Sub-district, County of Stafford; General Register Office, Southport.

Text from source:

CERTIFIED COPY OF AN ENTRY OF DEATH GIVEN AT THE GENERAL REGISTER OFFICE
Registration district Kingswinford
1874 Death in the sub-district of Kingswinford in the County of Stafford
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
137 10 Sep 1874 Fenton Street Brierley Hill Sarah Staines Female 62 Wife of Thomas Staines Forge Labourer Peritonitis 18 hours Certified Louisa Mallen Present at the death Fenton Street Brierley Hill Kingswinford 12 Sep 1874