Birth of Bushby Olliver

REGISTRATION DISTRICT WORTHING
1842 BIRTH in the Sub-district of Broadwater in the County of Sussex

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
110	Fourteenth February 1842 Broadwater	Bushby	Boy	Robert Olliver	Mary Olliver formerly Pennett	Miller	Robert Olliver Father Toville Mill Broadwater	Twelfth March 1842	Charles??? Registrar

Please note that this is not necessarily an exact transcription of the certificate but a standard layout based on the content.