| Name | Relationship | Status | Age | Occupation | Employment | Where Born |
|---|---|---|---|---|---|---|
| Charles J. Lewis | Head | M | 89 | Living on own means | Holborn London | |
| Charlotte Lewis | Wife | M | 77 | Tyd St. Mary [Lincoln?] | ||
| Rosa Lewis | Dau in law | W | 30 | Birmingham Warwick | ||
| Henry C.W. Lewis | Grandson | U | 4 | Brighton Sussex | ||
| Agnes Dixon | Serv | S | 22 | Nurse domestic | worker | Herne Hill Surrey |
| Ada Fairchild | Serv | S | 24 | Cook domestic | worker | Penge Surrey |
| Jessie Paddy | Serv | U | 27 | Housemaid domestic | worker | Upper Norwood Surrey |
| Reference: | RG13/651/101/68/18/96 |
| Registration District: | Croydon |
| Sub-registration District: | Croydon |
| Administrative County: | |
| Civil Parish: | Surrey |
| Ecclesiastical Parish: | Penge |
| Urban District: | Penge |
| Ward of Municipal Borough or Urban District: |
|
| Rural District: | |
| Parliamentary Borough: | Camberwell |
| Hamlet: | Penge |
| Address: | 61 Croydon Road |