| Consecutive Number | 103 |
|---|---|
| Day of Death | 02 |
| Month of Death | 10 |
| Year of Death | 1917 |
| Place of Death | Infirmary |
| Surname | Smith |
| Forename | George Edmond |
| Address | |
| Township | |
| Age | 1 |
| Occupation or place of work | |
| Name of Official | Dr Campbell |
| Cause of Death | Scalds |
| Verdict of Case | Accidental |