| Schedule | Surnames and Other Names | O,V,S,P, or L | M or F | Birth | S,M,W, or D | Personal | See Instructions |
| 158/1 | Smith William E. | Male | 27 Oct 1883 | Married | Bricklayer - Builder | ||
| 158/2 | Smith Elizabeth E. | Female | 22 Apr 1882 | Married | Unpaid Domestic Dut[ies] | ||
| 158/3 | Smith Louise E. P. | Female | 9 Aug 1906 | Single | Factory Dispatch Cler[k] | [Marginal Note: 310] | |
| 158/4 | Smith Gladys V | Female | 14 Jun 1922 | Single | Assistant Polish Maker - ??? |
Source: findmypast - 1939 Register RG101/0613B/011/29