| Consecutive Number | 99 |
|---|---|
| Day of Death | 11 |
| Month of Death | 09 |
| Year of Death | 1917 |
| Place of Death | Infirmary |
| Surname | Ratcliffe |
| Forename | Isaac |
| Address | 16 Second Avenue |
| Township | |
| Age | 63 |
| Occupation or place of work | Collier |
| Name of Official | Dr Waddell |
| Cause of Death | Fall of roof |
| Verdict of Case | Accidental Death |