| Schedule | Surnames and Other Names | O,V,S,P, or L | M or F | Birth | S,M,W, or D | Personal | See Instructions |
| 87/1 | Johnson William J | Male | 16 Nov 1872 | Married | Dairy Farmer | ||
| 87/2 | Johnson Grace B | Female | 7 Oct 1876 | Married | Unpaid Domestic Duti[es] | ||
| 87/3 | Johnson George E | Male | 14 Jan 1916 | Single | Cowman | ||
| 87/4 | Cooper Tom | Male | 10 Oct 1892 | Single | Incapacitated |
Source: findmypast - 1939 Register RG101/6133D/007/1