| Province | Ontario |
| District No. | 66 |
| S. District No. | 5 [29] |
| Enumeration District | 5 |
| In | St Thomas City |
| Page | 11 |
| Nominal return of living persons by | C R ???dy |
| Numbered in the Order of Visitation | Dwelling House | 135 | 135 | 135 |
| Family, Household or Institution | 130 | 130 | 130 | |
| Residence and Personal Description | Name of each person in family, household or institution | Chapman, Edward | Chapman, Annie | Chapman, Gilbert |
| Place of habitation | 49 Wilson | 49 Wilson | 49 Wilson | |
| Sex | M | F | M | |
| Relationship to head of family or household | Head | Wife | Son | |
| Single, married, widowed, divorced or legally separated | M | M | S | |
| Month of birth | July | June | April | |
| Year of birth | 1878 | 1884 | 1910 | |
| Age at last birthday | 32 | 26 | 1 | |
| Citizenship, Nationality and Religion | Country or place of birth | England | England | Ontario |
| Year of immigration to Canada, if an immigrant | 1904 | 1907 | ||
| Year of naturalization, if formerly an alien | ||||
| Racial or tribal origin | English | English | English | |
| Nationality | Canadian | Canadian | Canadian | |
| Religion | Anglican | Anglican | Anglican | |
| Profession, Occupation, Trade or Means of Living | Chief occupation or trade | Car Repairer | None | |
| Employment other than at chief occupation or trade, if any | 1106-04 | ng | ng | |
| Employer | no | |||
| Employee | yes | |||
| Working on own account | no | |||
| Wage-Earners | State where person is employed, as "on farm", "in woolen mill", "at foundry shop", "in drug store", etc. | Railroad | ||
| Weeks employed in 1910 at chief occupation or trade | 52 | |||
| Weeks employed in 1910 at other than chief occupation or trade, if any | ||||
| Hours of working time per week at chief occupation | 60? | |||
| Hours of working time per week at other occupation, if any | ||||
| Total earning in 1910 from chief occupation or trade | 450 | |||
| 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 | |||
| Against accident or sickness | ||||
| Cost of insurance in coming year | ||||
| Education and Language of Each Person Five Years of Age and Over | Months at school in 1910 | |||
| Can read | yes | yes | no | |
| Can write | yes | yes | no | |
| Language commonly spoken | E | 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 |
Source: 1911 Census of Canada Indexing Project
Source: 1911 Census Image