| Consecutive Number | 97 |
|---|---|
| Day of Death | 30 |
| Month of Death | 08 |
| Year of Death | 1917 |
| Place of Death | 198 Scholes |
| Surname | Jackson |
| Forename | Mary Ellen |
| Address | 198 Scholes |
| Township | |
| Age | 37 |
| Occupation or place of work | Nil |
| Name of Official | Dr Hamilton |
| Cause of Death | Natural Causes |
| Verdict of Case | Natural Causes |