England, death certificate (certified copy) for Mary Brooks, died 24 September 1849; registered 27 September 1849. Basford district, Wilford Sub-district, County of Nottingham; General Register Office, Southport.

Text from source:

CERTIFIED COPY OF AN ENTRY OF DEATH GIVEN AT THE GENERAL REGISTER OFFICE
Registration district Basford
1849 Death in the sub-district of Wilford in the County of Nottingham
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
268 24 Sep 1849 Clifton Mary Brooks Female 53 Wife of John Brooks shoemaker Cold 9 days Certified X the mark of William Brookes Present at the death Clifton 24 Sep 1849