Age of applicant: 42
Address: St John Street
Occupation (if given): Butcher
Dependents: Jane (wife, 43), children Ada (9), Agnes (5), Alice (3).
Relief given (if documented): 3" Mutton 2s; Provisions 3s 11d; Coals 6d; 7s weekly for 4 weeks.
Ward name or number: St Saviour