| Address :- | Fernside Road, Poole |
| Name | Rel | Age | Sex | Marr | Birthplace | Nationality | In Education | Profession / Trade | Employment | Place of Work | Children <16 | <1 | 1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 10 | 11 | 12 | 13 | 14 | 15 |
| George Henry HART | Head | 48y 11m | M | Married | Parkstone Dorset | Bricklayer | Mears Builder Poole | Poole | None | ||||||||||||||||||
| Eliza Sarah Jane HART | Wife | 34y 02m | F | Married | Cattistock Dorset | House Duties |
| Number of Rooms | 4 |
| Signature | George H HART |
| Postal Address | Fernside Road, Poole |
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