Date of application (if given): 12 March 1875
Age of applicant: 40
Address: Hills Bds, Walmgate
Occupation (if given): Labourer
Dependents: Mary (wife, 38); Children Saul (5)
Relief given (if documented): 3" Mutton 1s 9d, 1s 3d
Ward name or number: Saint Peter le Willows