| Name | Relationship | Condition | Age | Rank, Profession or Occupation | Where Born |
|---|---|---|---|---|---|
| David Smith | Head | M | 28 | Chair Maker | Middx Uxbridge |
| Priscilla Smith | Wife | M | 25 | Bucks Chesham | |
| William Smith | Son | 5 | Bucks Chesham | ||
| Elizabeth Smith | Dau | 4 | Bucks Chesham | ||
| Samuel Smith | Son | 2 | Middx Uxbridge | ||
| Mary Ann Eliza Smith | Dau | 1 | Bucks Chesham | ||
| Emma Smith | Dau | 4 mo | Bucks Chesham | ||
| William Kingstone | Lodger | M | 23 | Cordwainer | Herts Hem-Hempstead |
| Martha Kingstone | Lodger | M | 20 | Bucks Chesham | |
| Eliza Kingstone | Dau [sic] | 10 Mon | Bucks Chesham | ||
| William Gardner | Lodger | U | 25 | Cordwainer | Bucks Little Marlow |
| Reference: | HO107/1717/1d/157/9/35 |
| Registration District: | Amersham |
| Sub-registration District: | Missenden |
| Parish of: | Chesham |
| Ecclesiastical District of: | |
| City or Borough of: | |
| Town of: | Chesham |
| Village of: | |
| Address: | Blusher? Street |