| Consecutive Number | 37 |
|---|---|
| Day of Death | 16 |
| Month of Death | 03 |
| Year of Death | 1917 |
| Place of Death | 5 Argyle Street |
| Surname | Bullen |
| Forename | John |
| Address | 5 Argyle Street |
| Township | |
| Age | |
| Occupation or place of work | Infant |
| Name of Official | Nil |
| Cause of Death | Malformation |
| Verdict of Case | Malformation |