| Consecutive Number | 111 |
|---|---|
| Day of Death | 15 |
| Month of Death | 11 |
| Year of Death | 1919 |
| Place of Death | 18 Wallace Lane |
| Surname | Calland |
| Forename | Grace |
| Address | 19 Wallace Lane |
| Township | |
| Age | |
| Occupation or place of work | Infant of 10 months |
| Name of Official | Nil |
| Cause of Death | Natural causes |
| Verdict of Case | Natural causes |