| Day of the Month | [1893] Oct 23d. |
| Day of the Week | Monday |
| Next Meal after Admission | S[upper] |
| Name | Mayersbach Jane |
| Calling, if any | Milliner |
| Religious Persuasion | C.E. |
| When Born | 60 [sic] |
| Class For Diet | 6 |
| Parish from which Admitted | Islington |
| By whose Order Admitted | Thomas |
| Date of the Order of Admission | Oct 23 |
| Observations on Condition etc. | Widow |
Source: London Metropolitan Archives; Reference Number: ISBG/283/030
Source: Ancestry.com. London, England, Workhouse Admission and Discharge Records, 1764-1930