| Name | Colf Jane |
| Age | 69 |
| Last Residence before Admission | 6 Furnival St |
| Condition | Single |
| Calling | Servant |
| If Able-bodied | no |
| By whose Order Admitted | A.C.Webb |
| Date of Admission | 26 Jan 1887 |
| Date of Discharge | 4 Apl 1887 |
| How or by whose Order discharged | Passed to Staines |
| Observations |
Source: Reference Number: CBG/334/011
Source: Ancestry.com. London, England, Workhouse Admission and Discharge
Records, 1659-1930