| Consecutive Number | 64 |
|---|---|
| Day of Death | 22 |
| Month of Death | 05 |
| Year of Death | 1917 |
| Place of Death | 183 Scot Lane, Wigan |
| Surname | Smith |
| Forename | Harold |
| Address | 183 Scot Lane |
| Township | Wigan |
| Age | 3 |
| Occupation or place of work | Infant |
| Name of Official | Dr Litherland |
| Cause of Death | Drowning |
| Verdict of Case | Accidental Death |