| Name | Relationship | Status | Age | Rank, Profession or Occupation | Where Born |
|---|---|---|---|---|---|
| Jesse Jones | Husband | M | 76 | Dairyman | Kent Rainham |
| Mary Allison Jones | Wife | M | 51 | Kent Milton | |
| Mary Ann Waters | Visitor | W | 36 | Nurse | Kent Newington |
| Reference | RG11/454/5/100/1/2 |
| Registration district: | St George In The East |
| Sub-registration District: | St Paul |
| Civil Parish [or Township] of: | Saint George in th East |
| City or Municipal Borough of: | |
| Municipal Ward of: | |
| Parliamentary Borough of: | Tower Hamlets |
| Town or Village or Hamlet of: | |
| District of: | Saint Pauls Dist Saint George E |
| Rural Sanitary District of: | |
| Ecclesiastical Parish or District of: | Saint Mary |
| Address | 79 Cornwall Street |