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 |
259 | First June 1873 6 Summerfield Street Lee |
Jessy Madeline | Girl | Charles William Vinten | Harriet Vinten formerly Knott | Railway Porter | H. Vinten
Mother 6 Summerfield Street Lee |
Eleventh August 1873 | John Thomas Robert Burroughs Registrar |