| Consecutive Number | 55 |
|---|---|
| Day of Death | 12 |
| Month of Death | 05 |
| Year of Death | 1918 |
| Place of Death | 2 Poolstock Terrace, Poolstock |
| Surname | Chadwick |
| Forename | Annie |
| Address | 2 Pottery Terrace |
| Township | Poolstock |
| Age | 0 |
| Occupation or place of work | Infant |
| Name of Official | Nil |
| Cause of Death | Found dead in bed |
| Verdict of Case | Natural Causes |