| Schedule | Surnames and Other Names | O,V,S,P, or L | M or F | Birth | S,M,W, or D | Personal | See Instructions |
| 178/1 | Smith, Jane | Female | 24 Feb 1861 | Widowed | Unpaid domestic duties | ||
| 178/2 | Smith, Sarah J [Probably Jane's Step-Daughter Originally: Jane] | Female | 23 Feb 1899 | Single | Dressmaker |
Source: findmypast - 1939 Register RG101/1132D/015/31