| Address :- | 30 Apton Road, Bishop Stortford |
| Name | Rel | Age | Sex | Marr | Birthplace | Nationality | In Education | Profession / Trade | Employment | Place of Work | Children <16 | 1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 10 | 11 | 12 | 13 | 14 | 15 |
| Caroline GOATS | Head | 57y 08m | F | Single | Bishops Stortford, Hertfordshire | Laundress | Own Account | At Home |
| Number of Rooms | 4 |
| Signature | Caroline GOATS |
| Postal Address | 30 Apton Road, Bishops Stortford |
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