| Name | Age | Profession etc. | Same County |
|---|---|---|---|
| Thomas Paine | 61 | M.S. | Y |
| Mary Paine | 62 | N | |
| James Paine | 20 | M.S. | Y |
| Reference: | HO107/1078/5/1/20/34/13 |
| Registration District: | Croydon |
| Sub-Registration District: | Croydon |
| City or Borough of: | |
| Parish of: | Croydon |
| Place: | Coomb Street |