| Schedule | Surnames and Other Names | O,V,S,P, or L | M or F | Birth | S,M,W, or D | Personal | See Instructions |
| 184/1 | Burrell, Bertram | Male | 8 May 1883 | Married | Machine Shop Wage/Progress Clerk Retired | ||
| 184/2 | Burrell, Alice M | Female | 7 Jan 1880 | Married | Unpaid Domestic Duties | ||
| 184/3 | Jones (Smith), Vera | Female | 2 Sep 1911 | Married | Unpaid Domestic Duties | [Marginal Note: QDA 3/7/48 M] |
Source: findmypast - 1939 Register RG101/4023C/014/15