| Schedule | Surnames and Other Names | O,V,S,P, or L | M or F | Birth | S,M,W, or D | Personal | See Instructions |
| 10/1 | Clark John | Male | 6 Feb 1877 | Married | Foreman Ejector? Pumps Sewerage Purification Plan[t] | ||
| 10/2 | Clark Elizabeth | Female | 11 Feb 1877 | Married | Unpaid domestic duties | ||
| 10/3 | Clark Donald S | Male | 29 Sep 1905 | Married | Fitter Ejector? Pumps Sewerage Purification Plant - at present | ARP Full time Rescue and Demolition | |
| 10/4 | Woods Annie H | Female | 12 March 1870? | Single | Private means |
Source: findmypast - 1939 Register RG101/1297G/002/41