| Name | Age | Profession etc. | Same County |
|---|---|---|---|
| John Smith | 35 | Ag. Lab. | Y |
| Caroline Smith | 34 | Y | |
| Rebecca Smith | 16 | Y | |
| Thomas Smith | 14 | Y | |
| Joseph Smith | 12 | Y | |
| James Smith | 9 | Y | |
| George Smith | 7 | Y | |
| Ann Smith | 3 | Y |
| Reference: | HO107/43/1/7/8/11/1 |
| Registration District: | Wycombe |
| Sub-Registration District: | Wendover |
| City or Borough of: | |
| Parish of: | Stoke Mandeville |
| Place: | Long Cross |