| Schedule | Surnames and Other Names | O,V,S,P, or L | M or F | Birth | S,M,W, or D | Personal | See Instructions |
| 160/1 | Johnson, Kate | Female | 17 Nov 1877 | Widowed | Unpaid domestic duties | ||
| 160/2 | Johnson, Elizabeth [Caroline added later] | Female | 19 Jan 1913 | Married | Shirt machinist | ||
| 160/3 | Coombes, Alfred | Male | 15 Dec 1893 | Single | Boot operator |
Source: findmypast - 1939 Register RG101/1132D/014/20