| Address :- | 1 Parkstone Road |
| 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 |
| Catherine WHITE | Head | 67y 03m | F | Single | Dorset Poole | British Born | Letting Appartments | Own Account | At Home | ||||||||||||||||||
| Henry WHITE | Brother | 81y 06m | M | Single | Surrey Mortlake | British Born | None | ||||||||||||||||||||
| Margaret WHITE | Sister | 71y 06m | F | Single | Dorset Poole | British Born | None | ||||||||||||||||||||
| Sara Elizabeth READ | Visitor | 63y 01m | F | Widow | India Delhi | None | None | ||||||||||||||||||||
| Nellie A M HART | Servant | 22y 03m | F | Single | Dorset Parkstone | British Born | General Domestic Duties | Private |
| Number of Rooms | 7 |
| Signature | Catherine WHITE |
| Postal Address | 1 Parkstone Road |
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