| Schedule | Surnames and Other Names | O,V,S,P, or L | M or F | Birth | S,M,W, or D | Personal | See Instructions |
| 173/1 | Jones William | Male | 25 May 1862 | Widowed | Colliery Winding Engineman Retired | ||
| 173/2 | Layland Minnie | Female | 29 Aug 1883 | Single | Tailoress | ||
| 173/3 | Layland Sarah E. | Female | 23 Jul 1880 | Single | Pottery Ware Sorter |
Source: findmypast - 1939 Register RG101/5293H/014/32