| Name | Age | Profession etc. | Same County |
|---|---|---|---|
| John H Minett | 30 | Yeoman | Y |
| Mary Minett | 25 | Y | |
| Charles Minett | 2 | Y |
| Reference: | HO107/358/7/4/13/20/2 |
| Registration District: | Chipping Sodbury |
| Sub-Registration District: | Hawkesbury |
| City or Borough of: | |
| Parish or Township of: | Hawkesbury Tithing of Hawkesbury |
| Place: | Upper Chalkly? Farm |