No | When and where born | Name, if any | Sex | Name and surname of father | Name, surname and maiden surname of mother | Occupation of father | Signature, description and residence of informant | When registered | Signature of Registrar |
183 | Fourth of June 1841 Drury Lane |
John | Boy | Francis Carr | Ann Carr formerly Bowhill | Mariner | Ann Carr
Mother Drury Lane |
Ninth of June 1841 | Robert Hodgson Registrar |