Registration District Barnet Sub-district South Mims Counties of middlesex and hertford No When and Name Sex Name&surname Name/surname Occupation Signature, description When Signature where born of father maiden surname of father residence of informant registered of mother Twenty ninth Maria Shambrook Maria Shambrook Twenty second of December 12[68] 1838 David Boy David Shambrook formerly Labourer her X Mark of January at Potters Bar Lane Mother South Mims Potters bar 1839