| Name | Relationship | Status | Age | Occupation | Employment | Where Born |
|---|---|---|---|---|---|---|
| George H Rodman | Head | M | 39 | Doctor of Medicine Surg | ||
| Margaret Rodman | Wife | M | 40 | London | ||
| Frances M Rodman | Dau | U | 7 | Surrey Mortlake | ||
| George N Rodman | Son | U | 2 | Surrey Mortlake | ||
| Carrie Farmer | Serv | U | 21 | Housemaid Domestic | Surrey Wandsworth | |
| Annie Burrows | Serv | U | 25 | Cook Domestic | Kent Maidstone |
| Reference: | RG13/679/8/21/33/193 |
| Registration District: | Richmond |
| Sub-registration District: | Mortlake |
| Administrative County: | Surrey |
| Civil Parish: | Mortlake |
| Ecclesiastical Parish: | St. Marys |
| Urban District: | Barnes |
| Ward of Municipal Borough or Urban District: |
|
| Rural District: | |
| Parliamentary Division: | Kingston |
| Town or Village or Hamlet: | |
| Address: | 2 (Heathcote) Peraldine? Villas |