No.	Date and Place of Death	Name and Surname	Sex	Condition	Age Last Birthday	Rank, Profession or Occupation	Certified Cause of Death and Duration of Illness	Signature, Qualification and Residence of Informant	When Registered	Signature of Registrar
193	(unreadable)	Catherine Fallon	Female	Married	80 Years	Labourer's Wife	Senile decay, 1 month Uncertified, no medical attendant	The X Mark of John Fallon present at death, Rahally	19th September 1869	Thomas Underwood Registrar
194	(?) August 1869 (place illegible)	Anne Burke	Female	Widow	60 Years	Mason's Wife	Bronchitis, 6 days, Uncertified, no medical attendant	Mary Duane, present at death, Ballinahistill(?)	27th September 1869	Thomas Underwood Registrar
195	31st August 1869 Ballyard (?)	Mary Keating	Female	Widow	70 Years	Farmer's Widow	Chronic bronchitis, 1 month Uncertified, no medical attendant	Michael Ward, present at death, Ballyard	28th September 1869	Thomas Underwood Registrar
196	26th September 1869 Benmore, Grange	Anastatia Ryan	Female	Widow	90 Years	Farmer's Widow	Senile decay, 6 months, Uncertified, no medical attendant	Patt Healy, Occupier, Benmore	30th September 1869	Thomas Underwood Registrar

I, Thomas Underwood, Registrar of Births and Deaths in the District of Loughrea, in the Union of Bullaun, in the County of Galway, do hereby certify, that this is a true Copy of the Registrar's Book of Deaths within the said District from the Entry of the Death of Catherine Fallon, No. 193, to the Entry of Death of Anastatia Ryan, No. 196.
Witness my hand this 25th day of October, 1869, Thomas Underwood, Registrar.

I have examined the above and have compared it with the said original Registrar's Book and hereby certified it is a true copy.
Witness my hand this (illegible) day of October, 1869. Patrick Egan, Superintendent Registrar.