| Consecutive Number | 77 |
|---|---|
| Day of Death | 21 |
| Month of Death | 9 |
| Year of Death | 1919 |
| Place of Death | 11 New Brow |
| Surname | Nickols |
| Forename | William |
| Address | 11 New Brow |
| Township | Pemberton |
| Age | |
| Occupation or place of work | Infant of 9 hours old |
| Name of Official | Nil |
| Cause of Death | Natural causes |
| Verdict of Case | Natural causes |