| Name | Relation to head | Marital status | Age | Occupation | Where born |
|---|---|---|---|---|---|
| Ann Jervis | Head | Widow | 40 | Laundress | Monmouthshire, Bedwellty |
| ? Jervis | Daughter | Unmarried | 5 | Scholar | Monmouthshire, Bedwellty |
| Jane Jervis | Daughter | Unmarried | 19 | Mine Tipping | Monmouthshire, Bedwellty |
| Amelia Jervis | Daughter | Unmarried | 5 | Scholar | Breckonshire, Breckon |