England, death certificate (certified copy) for Henry Brown, died 15 January 1911; registered March quarter 1911, Portsmouth district 2b: 310 North End & Buckland subdistrict, County of Portsmouth C.B.; General Register Office, Southport.

Text from source:

CERTIFIED COPY OF AN ENTRY OF DEATH GIVEN AT THE GENERAL REGISTER OFFICE
Registration district Portsmouth
1911 Death in the sub-district of North End & Buckland in the County of Portsmouth C.B.
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
384 15 Jan 1911 79 Station Road Copnor Henry Brown Male 58 Naval Pensioner Morbus Cordis 4 years Syncope 1 hour Certified H.E. Crawley MRCS A. S. Brown Son present at the death 81 Station Road Copnor 16 Jan 1911