| Consecutive Number | 114 |
|---|---|
| Day of Death | 17 |
| Month of Death | 11 |
| Year of Death | 1919 |
| Place of Death | Knowles Villa, Goose Green |
| Surname | Shaw |
| Forename | Alfred |
| Address | Knowles Villa |
| Township | Goose Green |
| Age | |
| Occupation or place of work | Joiner |
| Name of Official | Dr Berry |
| Cause of Death | Natural causes |
| Verdict of Case | Natural causes |