| Name | Relationship | Condition | Age | Rank, Profession or Occupation | Where Born |
|---|---|---|---|---|---|
| John Addison | Head | M | 48 | Clock & Watch Maker | Staffordsh Wolverhampton |
| Henry Scrivens | Lodger | U | 25 | Clerk | Warwicksh Answorth |
| Reference: | HO107/2018/1h/130/21/79 |
| Registration District: | Wolverhampton |
| Sub-registration District: | Wolverhampton Western |
| Township of: | Wolverhampton |
| Ecclesiastical District of: | Saint Johns |
| Borough of: | Wolverhampton |
| Town of: | |
| Village of: | |
| Address: | Bell Street |