| Name | Relationship | Status | Age | Trade or Profession | Where Born |
|---|---|---|---|---|---|
| Samuel Smith | Head | M | 57 | House Proprietor | Surrey Croydon |
| Sarah Ann Smith | Wife | M | 57 | Midd. London | |
| Mary Ann Smith | Dau | S | 21 | Surrey Croydon | |
| Robert Smith | Son | S | 17 | Apprentice to a Builder | Surrey Croydon |
| Rd? Wm Gaskin | Visitor | 16 | Clerk to an Ironmonger | Midd. Islington | |
| Sophia Jupp? | Serv | S | 49 | Domestic Servant | Surrey Limpsfield |
| Reference: | RG9/449/18/129/5/19 |
| Registration District: | Croydon |
| Sub-registration District: | Croydon |
| Parish [or Township] of: | Croydon |
| City or Municipal Borough of: | |
| Municipal Ward of: | |
| Parliamentary Borough of: | |
| Town of: | Croydon |
| Hamlet or Tything, &c., of: | |
| Ecclesiastical District of: | |
| Address: | Addiscombe Rd |