| Civil | County / | Country | Street | Registration | Sub-Registration |
| Parish | Island | - | Address | District | District |
| - | Gloucestershire | England | 1 Temple Street | Bristol | Bristol Central |
|
| Name |
Relation |
Age |
Condition |
Yrs Married |
Children Born |
Children Living |
Children Dead |
Occupation |
Industry |
Worker |
Where Born |
Nationality |
Language |
| John Henry Derrick |
Head |
48 |
Married |
11 |
None |
- |
- |
Refreshment House Keeper |
- |
- |
Bristol |
British |
- |
| Jessie Derrick |
Wife |
44 |
Married |
11 |
None |
- |
- |
- |
- |
- |
Chelsea London |
British |
- |
|
| Source / Reference | PRO, 1911 Census, RG14-14878-70 |
|
