England, death certificate (certified copy) for Ann Page, died 22 Apr 1852; registered 24 April 1852. 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
1852 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
195 22 Apr 1852 Union Workhouse Wordsley Ann Page Female 40 Wife of Samuel Page Miner Fever Certified X the mark of Samuel Page Husband in attendance Brockmoor Kingswinford 24 Apr 1852