| Date | [1862] July 12th. | |||
| Day of the Week | Saturday | |||
| Next Meal after Admission | D[inner] | D[inner] | D[inner] | D[inner] |
| Name | Hollis Joseph Will | Hollis Josh. Thos. | Hollis Russell Richd. | Hollis Henry Will |
| Class for Diet | 1 | 4 | 4 | 4 |
| Parish to which Charged | St. Sav | |||
| How discharged | Own request | |||
| Observations | ||||
Source: London Metropolitan Archives; Reference Number: SOBG/100/10
Source: Ancestry.com. London, England, Workhouse Admission and Discharge
Records, 1764-1930