| Name | Age | Profession etc. | Same County |
|---|---|---|---|
| Hannah Simmons | 34 | I [Ireland] | |
| William Simmons | 8 | Y |
| Reference: | HO107/659/8/8/11/14/9 |
| Registration District: | Clerkenwell |
| Sub-Registration District: | Amwell |
| Borough of: | Finsbury |
| Parish of: | Clerkenwell |
| Place: | Yardley Street |