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 |
326 | Ninth April 1869 27 Rutland Street |
Catherine Susan | Girl | Richard Williams | Jacintha Augusta Williams formerly Parks | Cork Cutter | J A Williams
Mother 16 Little Russell Street |
Nineteenth May 1869 | John B Ratcliff Registrar |