| Name | Age | Profession etc. | Same County |
|---|---|---|---|
| James Bellington | 35 | Coal Miner | N |
| Hannah Bellington | 35 | N | |
| Levina Bellington | 10 | Y |
| Reference: | HO107/109/3/3/10/14/5 |
| Registration District: | Ashton under Lyne |
| Sub-Registration District: | Dukinfield |
| City or Borough of: | |
| Township of: | Dukinfield |
| Place: | Cooper Asonde? |