| Address :- | 18 Jervis Road, Bishop's Stortford |
| Name | Rel | Age | Sex | Marr | Birthplace | Nationality | In Education | Profession / Trade | Employment | Place of Work | Children under 16 | under 1 | 1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 10 | 11 | 12 | 13 | 14 | 15 |
| Herbert William BACON | Head | 35y 08m | M | Married | Newport Essex | Builder | Employer | No Fixed Place | 2 | X | X | ||||||||||||||||
| Mabel BACON | Wife | 33y 00m | F | Married | Bishops Stortford, Herts | Home Duties | At Home | ||||||||||||||||||||
| Herbert William BACON | Son | 4y 06m | M | Both Alive | Bishops Stortford Herts | ||||||||||||||||||||||
| Marjorie BACON | Daughter | 0y 09m | F | Both Alive | Bishops Stortford Herts |
| Number of Rooms | 4 |
| Signature | Herbert William BACON |
| Postal Address | 18 Jervis Road, Bishops Stortford |
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