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 |
139 | Eighth December 1862 Union Place Lee |
Ann | Female | Thomas Shorter | Mary Shorter formerly Murray | General Labourer | Mary Shorter
Mother Union Place Lee |
Eighth January 1863 | John Thomas Robert Burroughs |