| Consecutive Number | 120 |
|---|---|
| Day of Death | 18 |
| Month of Death | 11 |
| Year of Death | 1917 |
| Place of Death | 39 Great George Street |
| Surname | Middleton |
| Forename | Charles Ernest |
| Address | 39 Great George Street |
| Township | |
| Age | 36 |
| Occupation or place of work | Plumber |
| Name of Official | Dr Berry |
| Cause of Death | Lead Poisoning |
| Verdict of Case | Accidental Death |