| Page No | 28 |
| Entry No. | 221 |
| Baptism Date | July 1879 (no day entered) |
| Christian Name | Mary Eliza, daughter of |
| Father | No father's first name entered |
| Mother | No mother's first name entered |
| Surname | Collins |
| Abode | Farlington |
| Quality, Trade or Profession | Labourer |
| Ceremony Performed By | Edward Tew Richards, Rector |
| Note | Written in margin "Privately Baptised" |