| Consecutive Number | 4 |
|---|---|
| Day of Death | 15 |
| Month of Death | 1 |
| Year of Death | 1918 |
| Place of Death | Infirmary |
| Surname | Lee |
| Forename | Samuel |
| Address | 14 Lord Street |
| Township | |
| Age | 68 |
| Occupation or place of work | Furnace Tentor |
| Name of Official | Dr Waddell |
| Cause of Death | Injuries received by being knocked down by a railway wagon |
| Verdict of Case | Accidental Death |