| Consecutive Number | 110 |
|---|---|
| Day of Death | 22 |
| Month of Death | 10 |
| Year of Death | 1917 |
| Place of Death | 16 Ingram Street |
| Surname | Broxton |
| Forename | Catherine |
| Address | 16 Ingram Street |
| Township | |
| Age | 48 |
| Occupation or place of work | Nil |
| Name of Official | Dr Rees |
| Cause of Death | Natural causes |
| Verdict of Case | Natural causes |