| Consecutive Number | 122 |
|---|---|
| Day of Death | 7 |
| Month of Death | 12 |
| Year of Death | 1919 |
| Place of Death | Venture Lodge Highfield |
| Surname | Heaton |
| Forename | Percival |
| Address | 49 Queen Street |
| Township | Orrell |
| Age | 17 |
| Occupation or place of work | Blacksmiths striker |
| Name of Official | Nil |
| Cause of Death | Drowning |
| Verdict of Case | Suicide |