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 |
87 | Fourth November 1895 Coghurst Road Ore R.D |
Hephzibah Elizabeth Fellows | Girl | - | Hephzibah Elizabeth Collins Domestic Servant |
- | H. E. Collins
Mother Coghurst Road Ore |
Fourteenth December 1895 | Stephen Hume Registrar |