| Name | Relationship | Status | Age | Occupation | Employment | Where Born |
|---|---|---|---|---|---|---|
| Charlotte Scriven | Head | M | W | 61 | London Shoreditch | |
| John Heatley | Visitor | M | 21 | Oil Warehouseman | Worker | London Clerkenwell |
| Sarah Heatley | Visitor | M | 20 | London Islington | ||
| Louisa Heatley | Visitor | 6 mo |
| Reference: | RG13/251/5/163/32/223 |
| Registration District: | Holborn |
| Sub-registration District: | Amwell |
| Administrative County: | London |
| Civil Parish: | Clerkenwell |
| Ecclesiastical Parish: | St James, Pentonville |
| Municipal Borough: | Finsbury |
| Ward of Municipal Borough: | 1 |
| Rural District: | |
| Parliamentary Borough or Division: | Central Finsbury |
| Town or Village or Hamlet: | |
| Address: | 26 Hermes St |