| Name | Relationship | Status | Age | Trade or Profession | Employment | Where Born |
|---|---|---|---|---|---|---|
| Walter Geo Payne | Head | M | 26 | Bricklayer Labourer | Employed | Surrey Croydon |
| Mary Anne Payne | Wife | M | 31 | Somerset Minehead | ||
| Harry G. Roinson | Son | U | 6 | Surrey Tulse Hill | ||
| Maud Ellen Roinson | Dau | U | 5 | Surrey Tulse Hill | ||
| Ethel Roinson | Dau | U | 3 | Surrey Streatham | ||
| Geo Ernest Payne | Son | U | 4 Mo | Surrey Streatham |
| Reference: | RG12/458/22/26/46/268 |
| Registration District: | Wandsworth |
| Sub-registration District: | Streatham |
| Administrative County: | London |
| Civil Parish: | Streatham Part |
| Municipal Borough: | |
| Municipal Ward: | |
| Urban Sanitary District: | |
| Town or Village or Hamlet: | |
| Rural Sanitary District: | |
| Parliamentary Borough or Division: | Wandsworth |
| Ecclesiastical Parish or District: | St Andrew |
| Address: | 11 Danbrook? Rd. |