| Consecutive Number | 91 |
|---|---|
| Day of Death | 15 |
| Month of Death | 10 |
| Year of Death | 1919 |
| Place of Death | Brick Kiln Lane |
| Surname | Hayes |
| Forename | Ellen |
| Address | Brick Kiln Lane |
| Township | |
| Age | 72 |
| Occupation or place of work | Widow |
| Name of Official | Dr Buchanon |
| Cause of Death | Natural causes |
| Verdict of Case | Natural causes |