Claim for loss of life #2 – Particulars

	No. of Claim	Name and description of Claimant	Whether Executor or Administrator of Deceased Person
	2	Francis Bullard, Chapel Keeper, Chapel Street, Owlerton	Administrator

Name and Description of Deceased Person	Party for whose benefit the claim is made, being Wife or Husband of the deceased person or his or her parent or child as defined in 9 and 10 Victoria C.93	Amount of Damages Claimed
Thomas Bullard	Father	£100
Certificate Granted 31 May 1865	Assessed by Agreement at	£20