| Name | Relationship | Status | Age | Trade or Profession | Employment | Where Born |
|---|---|---|---|---|---|---|
| Arthur Herbert | Head | M | 36 | Stock Broker | Employer | Kent Blackheath |
| Mary L. Herbert | Wife | M | 29 | London St John’s Wood | ||
| Arthur S. Herbert | Son | 8 | Scholar | Surrey Croydon | ||
| Mariel? Herbert | Dau | 5 | Surrey Horley | |||
| Lorna Herbert | Dau | 3 | Switzerland B. ?? | |||
| Sarah H Davis | Serv | S | 54 | Nurse - Dom | Gloc Gloucester | |
| Harriet Barker | Serv | S | 23 | Cook - Dom | Surrey Croydon | |
| Eliza S Roffey? | Serv | S | 21 | Housemaid - Dom | Herefordshire |
| Reference: | RG12/585/4/66/62/375 |
| Registration District: | Croydon |
| Sub-registration District: | Croydon |
| Administrative County: | Surrey |
| Civil Parish: | Coulsdon |
| Municipal Borough: | |
| Municipal Ward: | |
| Urban Sanitary District: | |
| Town or Village or Hamlet: | Henley |
| Rural Sanitary District: | Croydon |
| Parliamentary Borough or Division: | Wimbledon |
| Ecclesiastical Parish or District: | All Saints |
| Address: | Edgeworth Hayes Lane |