| Date | [1869] Oct 13 |
| Day of the Week | Wednesday |
| Last Meal before Discharge | B[reakfast] |
| Name | Hollis Joseph |
| Class for Diet | 2 |
| Parish to which Charged | St Savr. |
| How Discharged | Dead |
| Observations |
Source: London Metropolitan Archives; Reference Number: SOBG/100/12
Source: Ancestry - London, England, Workhouse Admission and Discharge
Records, 1764-1930