| Name | Relationship | Status | Age | Trade or Profession | Where Born |
|---|---|---|---|---|---|
| Richard Bollom | Head | M | 37 | Carpenter | Taunton Somerset |
| Maria Churcher Bollom | Wife | M | 34 | Norwood Surrey | |
| Elizabeth Ann Bollom | Dau | U | 10 | Bermondsey Surrey |
| Reference: | RG10/693/7/12/17/76 |
| Registration District: | Lambeth |
| Sub-registration District: | Norwood |
| Civil Parish [or Township] of: | St Mary lambeth |
| City or Municipal Borough of: | |
| Municipal Ward of: | No. 8 |
| Parliamentary Borough of: | |
| Town of: | |
| Village or Hamlet, &c., of: | Norwood |
| Local Board, or [Improvement Commissioners District] of: | |
| Ecclesiastical District of: | St Lukes |
| Address: | 3 Silver Cottages |