| Province | Ontario |
| District No. | 110 Perth North |
| S. District No. | 7 |
| Enumeration District | 1 Romeo in City of Stratford |
| Page | 15 |
| Nominal return of living persons by | Thomas. Neilson |
| Dwelling House | 131 |
| Family, Household or Institution | 142 |
| Place of habitation | 7 Deconie? St |
| Residence and Personal Description | Name of each person in family, household or institution | Facey Allan J | Chapman Fred |
| Sex | M | M | |
| Relationship to head of family or household | Head | Lodger | |
| Single, married, widowed, divorced or legally separated | S | S | |
| Month of birth | April | May | |
| Year of birth | 1889 | 1893 | |
| Age at last birthday | 22 | 18 | |
| Citizenship, Nationality and Religion | Country or place of birth | O | O |
| Year of immigration to Canada, if an immigrant | |||
| Year of naturalization, if formerly an alien | |||
| Racial or tribal origin | English | English | |
| Nationality | Canadian | Canadian | |
| Religion | Methodist | Methodist | |
| Profession, Occupation, Trade or Means of Living | Chief occupation or trade | Bank Clerk | Bank Clerk |
| Employment other than at chief occupation or trade, if any | |||
| Employer | |||
| Employee | Yes | Yes | |
| Working on own account | No | No | |
| Wage-Earners | State where person is employed, as "on farm", "in woolen mill", "at foundry shop", "in drug store", etc. | Bank | Bank |
| Weeks employed in 1910 at chief occupation or trade | 52 | 30 | |
| Weeks employed in 1910 at other than chief occupation or trade, if any | |||
| Hours of working time per week at chief occupation | 42 | 42 | |
| Hours of working time per week at other occupation, if any | |||
| Total earning in 1910 from chief occupation or trade | 600 | 50 | |
| 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 | 2000 | |
| Against accident or sickness | |||
| Cost of insurance in coming year | 50.50 | ||
| 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 | |
| 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 |
NB - 2 other occupants not transcribed.
Source: Year: 1911; Census Place: 34 - Stratford, Perth North, Ontario;
Page: 15; Family No: 142
Source: Ancestry.com. 1911 Census of Canada