No | When and where died | Name and surname | Sex | Age | Occupation | Cause of death | Signature, description and residence of informant | When registered | Signature of Registrar |
412 | Third February 1912 1 Nelson Villas, Frederick Road, Hastings |
Thomas Collins | Male | 90 years | Agricultural Labourer |
Old Age Broncho-Pneumonia Certified F.W.S. Culhane M.R.C.S. |
Alice Fellows Great-Granddaughter Present at Death |
Third February 1912 | Stephen Hume Registrar |