| Record no. | A020426 |
| Surname | BLACK |
| First Names | JACK FORREST |
| Occupation | P O CLERK |
| Plot No 1 | 24 |
| Type of Grave | SINGLE DEPTH |
| Cemetery | ASHBURTON CEMETERY |
| Plot Size | 81 |
| Age at Time of Death | 17 years |
| Date of Death | 24/03/1926 |
| Date of Internment | 26/03/1926 |
| Date of Purchase | 26/03/1926 |
| Name of Purchaser | JACK FORREST BLACK |
| Purchaser Address 1 | METHVEN |
| Denomination of Deceased | ANGLICAN |
| Name of Clergy Person | REV TOOLEY |
| Note |
OCCUPIED |