| Consecutive Number | 32 |
|---|---|
| Day of Death | 05 |
| Month of Death | 03 |
| Year of Death | 1917 |
| Place of Death | 6 Princess Street, Newtown |
| Surname | Davis |
| Forename | Samuel |
| Address | 6 Princess Street |
| Township | Newtown |
| Age | 59 |
| Occupation or place of work | Dataller |
| Name of Official | Dr Readman |
| Cause of Death | Natural Causes |
| Verdict of Case | Natural Causes |