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 |
119 | Seventeenth of March 1840 15m A??? Upper Mitcham |
Sarah Harriet | Girl | Henry Asher | Elizabeth Asher formerly Smith | General Dealer | Elizabeth Asher
Mother |
Twenty eighth of March 1840 | George Charles Searle Registrar |