| Registration District | Bishops Stortford |
| Sub Registration | Stortford |
| Parish | Bishops Stortford |
| County | Hertfordshire |
| Address | 34 Nursery Road, Bishops Stortford |
| Surname | First Name | Rel | Age | Sex | Marr | Years Marr | Born Live | Living | Died | Occ | Industry | Employ Status | Work at Home | Birthplace | Nationality |
| ROAST | John | Head | 67 | M | Married | 40 years | General Labourer | Building | Worker | Newtown Bishops Stortford Herts | |||||
| ROAST | Dinah | Wife | 58 | F | Married | 40 years | 15 | 13 | 2 | Newtown Bishops Stortford Herts | |||||
| SHEEHAN | Alfred | Boarder | 24 | M | Single | Railway Engine Stoker | Great Eastern Railway | Worker | Middlesex,Hoxton |
| Number of Rooms | 4 Rooms |
| Signature | John ROAST |
| Postal Address | 34 Nursery Rd., Bishops Stortford |
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