| Name | Relationship | Status | Age | Trade or Profession | Employment | Where Born |
|---|---|---|---|---|---|---|
| George Rodman | Head | M | 29 | General Medical Practioner | Employer | London Chelsea |
| Margaret Rodman | Wife | M | 30 | London Chelsea | ||
| Annie Tozzer | Cook | U | 20 | Cook Domestic servant | England Ipswich | |
| Edith Vine | Housemaid | U | 21 | Housemaid Domestic servant | Cornwall Cravenhook? |
| Reference: | RG12/623/9/141/12/81 |
| Registration District: | Richmond |
| Sub-registration District: | Mortlake |
| Administrative County: | Surrey |
| Civil Parish: | Mortlake |
| Municipal Borough: | |
| Municipal Ward: | |
| Urban Sanitary District: | |
| Town or Village or Hamlet: | Mortlake |
| Rural Sanitary District: | Richmond |
| Parliamentary Borough or Division: | kingston |
| Ecclesiastical Parish or District: | St. Marys |
| Address: | Richmond Rd. |