| Name | Relationship | Status | Age | Occupation | Employment | Where Born |
|---|---|---|---|---|---|---|
| James T. Bourne | Head | U | 30 | Farmer | Employer - At home | Cheshire |
| Mary Jane Bourne | Sister | U | 31 | Cheshire | ||
| Arthur R. Bourne | Brother | U | 17 | F Rel | Staffs. | |
| Elizabeth Picken | Serv | U | 19 | General Servant Domestic | Worker | Staffs. |
| Joseph Jas. Williams | Serv | U | 16 | General Farm Boy | Worker | Wales |
| Reference: | RG13/2576/11/133/7/44 |
| Registration District: | Stone |
| Sub-registration District: | Eccleshall |
| Administrative County: | Stafford |
| Civil Parish: | Chebsey |
| Ecclesiastical Parish: | Chebsey All Saints |
| County Borough, Municipal Borough or Urban District: |
|
| Ward of Municipal Borough or Urban District: |
|
| Rural District: | Stone |
| Parliamentary Borough or Division: | North West Staffs |
| Village: | Chebsey |
| Address: | Lower Heamies? |