| Name | Age | Profession etc. | Same County |
|---|---|---|---|
| Samuel Lake | 25 | Labourer | Y |
| Eliza Churchman | 20 | Y | |
| Mary Lake | 4 | Y | |
| Sarah Lake | 2 | Y |
| Reference: | HO107/1048/1/1/12/19/15 |
| Registration District: | St Mary Magdalen Bermondsey |
| Sub-Registration District: | St James |
| Borough of: | Southwark |
| Parish of: | Bermondsey |
| Place: | Walkers Cottage ?? Place 5 |