| Certified Copy of an Entry of Death |
| Death in the Sub district of Newport |
| In the county of Monmouth |
| No: 1906 |
| When & where died: Twenty eighth April 1907, 7 Reform Buildings, Newport |
| Name & Surname: Patrick Barry |
| Sex: male |
| Age: 65 years |
| Occupation: Dock Labourer |
| Cause of death: Cerebral Haemorrage, 16 hours, certified by J Buckner |
| Signature, description & resident of informant: John Barry, present at the death, 39 Canal Parade, Newport |
| When registered: Twenty ninth April, 1907 |
| Signature of registrar: W Baker, Registrar |