| Consecutive Number | 53 |
|---|---|
| Day of Death | 8 |
| Month of Death | 7 |
| Year of Death | 1919 |
| Place of Death | Infirmary |
| Surname | Jordan |
| Forename | Thomas |
| Address | 7 Wiltshaw Street |
| Township | Newtown |
| Age | 56 |
| Occupation or place of work | Dataller |
| Name of Official | House surgeon |
| Cause of Death | Fall of roof in mine |
| Verdict of Case | Accidental |