| Name | Relationship | Status | Age | Rank, Profession or Occupation | Where Born |
|---|---|---|---|---|---|
| John Wm. Scott | Head | M | 52 | Commercial Agent | Yorks Leeds |
| Mary Scott | Wife | M | 49 | Yorks Bramley | |
| Polly Scott [sic] | Dau | M | 20 | Stretcher in Stuff Dye Works | Yorks Leeds |
| Emily Scott | Dau | U | 10 | Scholar | Yorks Cleckheaton |
| Reference | RG11/4532/48/17/27/134 |
| Registration district: | Leeds |
| Sub-registration District: | West Leeds |
| Township of: | Leeds |
| Municipal Borough of: | Leeds |
| Municipal Ward of: | West |
| Parliamentary Borough of: | Leeds |
| Town or Village or Hamlet of: | |
| Urban Sanitary District of: | Leeds |
| Rural Sanitary District of: | |
| Ecclesiastical Parish or District of: | St. Simon |
| Address | 28 Somerby St |