| Registration District | Manchester |
| 1853 | BIRTH |
| Subdistrict | Newton |
| In the | County of Lancaster |
| No. | 5 |
| When and where born | Tenth August 1853 Cow-Lane Newton |
| Name if any | James |
| Sex | Boy |
| Name and surname of father | Hugh Scott |
| Name surname and maiden surname of mother | Martha Scott formerly Midwood |
| Occupation of father | Labourer |
| Signature description and residence of informant | X the mark of Martha Scott Cow-Lane Newton |
| When registered | Twentieth September 1853 |
| Signature of Resgistrar | Joseph Gornall Registrar |
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