| Consecutive Number | 101 |
|---|---|
| Day of Death | |
| Month of Death | |
| Year of Death | |
| Place of Death | 127 Enfield Street, Pemberton |
| Surname | Peet |
| Forename | (Newly born child) |
| Address | 127 Enfield Street |
| Township | |
| Age | 0 |
| Occupation or place of work | |
| Name of Official | Dr Frazer |
| Cause of Death | Natural causes |
| Verdict of Case | Natural causes |