England, death certificate (certified copy) for Samuel Page, died 13 april 1888; registered 14 April 1888. 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
Registrar's Subistrict district Kingswinford
1888 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
172 13 Apr 1888 High Street Brockmoor Samuel Page Male 73 A Grocer Bronchitis 7 days Certified Geo Ashmead LRCP The mark of Esther Page Widow of deceased present at the death High Street Brockmoor Kingswinford 14 Apr 1888