Birth of Fanny Ann Miller

REGISTRATION DISTRICT MARYLEBONE
1852 BIRTH in the Sub-district of St Johns in the County of Middlesex

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
35	Twenty Seventh September 1852 23 Princess Street	Fanny Ann	Girl	Charles Miller	Jane Miller formerly Camp	Shoe Maker	Charles Miller Father 23 Princess Street Marylebone	Twenty third October 1852	???

Please note that this is not necessarily an exact transcription of the certificate but a standard layout based on the content.