| Consecutive Number | 106 |
|---|---|
| Day of Death | 11 |
| Month of Death | 11 |
| Year of Death | 1919 |
| Place of Death | Infirmary |
| Surname | Pemberton |
| Forename | James |
| Address | 59 Hardy Butts |
| Township | Leigh |
| Age | 53 |
| Occupation or place of work | Collier |
| Name of Official | House surgeon Infirmary |
| Cause of Death | Falling down in the house |
| Verdict of Case | Accidental |