| Name | Age | Profession etc. | Same County |
|---|---|---|---|
| J Collier | 30 | Baker | N |
| Sarah Collier | 25 | Y |
| Reference: | HO107/1088/3/6/9/9/16 |
| Registration District: | St Saviour |
| Sub-Registration District: | St Saviour |
| City or Borough of: | Southwark |
| Parish or Township of: | St. Saviour |
| Place: | Park St. 2 |