England, death certificate (certified copy) for Elizabeth Staines, died 12 July 1886; registered 12 July 1886. West Bromwich district, West Bromwich South West Sub-district, County of West Bromwich; General Register Office, Southport.

Text from source:

CERTIFIED COPY OF AN ENTRY OF DEATH GIVEN AT THE GENERAL REGISTER OFFICE
Registration district West Bromwich
1886 Death in the sub-district of West Bromwich South West 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
201 12 Jul 1886 198 Sams Lane Elizabeth Staines Female 53 Wife of William Staines an iron Shearer Diseased liver ascites 6 months Certified N.L. Whitestone PRCPS William Staines Widower of deceased Present at the death 198 Sams Lane West Bromwich 12 Jul 1886