| Registration District | Poole |
| Parish | Litchett |
| Address | Upton Lodge Nr Poole Dorset |
| Surname | First Name | Rel | Age | Sex | Marr | Years Marr | Born Live | Living | Died | Occ | Industry | Employ Status | Work at Home | Birthplace | Nationality |
| BURDEN | Charles Albert | Head | 62 | M | Married | 41 | Gardener (Domestic) | Worker | Upton Dorset | ||||||
| BURDEN | Selina Jane | Wife | 61 | F | Married | 41 | 10 | 8 | 2 | Poole Dorset | |||||
| BURDEN | Lily Ellen | Daughter | 29 | F | Single | Upton Dorset | |||||||||
| BURDEN | Samuel James | Son | 27 | M | Single | General Labourer | Worker | Poole Dorset |
| Number of Rooms | 5 |
| Signature | Charles Albert BURDEN |
| Postal Address | Upton Lodge Nr Poole Dorset |
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