| Province | Ontario |
| District No. | 111 Perth South |
| S. District No. | 5 |
| Enumeration District | N Ward in Mitchell Town |
| Page | 10 |
| Nominal return of living persons by | J L Downey |
| Numbered in the Order of Visitation | Dwelling House | 125 | ||
| Family, Household or Institution | 127 | |||
| Residence and Personal Description | Name of each person in family, household or institution | Allan Herbert | Allan Clarissa | Allan Bertha |
| Place of habitation | St Andrew | |||
| Sex | M | F | F | |
| Relationship to head of family or household | Head | Wife | Daughter | |
| Single, married, widowed, divorced or legally separated | M | M | S | |
| Month of birth | May | May | Nov | |
| Year of birth | 1879 | 1884 | 1906 | |
| Age at last birthday | 32 | 27 | 4 | |
| Citizenship, Nationality and Religion | Country or place of birth | Ontario | Ontario | Ontario |
| Year of immigration to Canada, if an immigrant | ||||
| Year of naturalization, if formerly an alien | ||||
| Racial or tribal origin | English | English | English | |
| Nationality | Canadian | Canadian | Canadian | |
| Religion | Methodist | Methodist | Methodist | |
| Profession, Occupation, Trade or Means of Living | Chief occupation or trade | Laborer | None | |
| Employment other than at chief occupation or trade, if any | ||||
| Employer | ||||
| Employee | Yes | |||
| Working on own account | ||||
| Wage-Earners | State where person is employed, as "on farm", "in woolen mill", "at foundry shop", "in drug store", etc. | Franklin? | ||
| Weeks employed in 1910 at chief occupation or trade | 15 | |||
| Weeks employed in 1910 at other than chief occupation or trade, if any | ||||
| Hours of working time per week at chief occupation | 60 | |||
| Hours of working time per week at other occupation, if any | ||||
| Total earning in 1910 from chief occupation or trade | 100 | |||
| Total earning in 1910 from other than chief occupation or trade, if any | ||||
| Rate of earnings per hour when employed by the hour - Cents | ||||
| Insurance Held at Date | Upon life | |||
| Against accident or sickness | ||||
| Cost of insurance in coming year | ||||
| Education and Language of Each Person Five Years of Age and Over | Months at school in 1910 | |||
| Can read | Yes | Yes | ||
| Can write | Yes | Yes | ||
| Language commonly spoken | E | E | E | |
| Cost of education in 1911 for persons over 16 years of age at College, Convent or University | ||||
| Infirmities (Specify age when infirmity appeared) | Blind | |||
| Deaf and dumb | ||||
| Crazy or lunatic | ||||
| Idiotic or silly |
Source: Year: 1911; Census Place: 31 - Mitchell, Perth South, Ontario;
Page: 10; Family No: 127
Source: Ancestry.com. 1911 Census of Canada