| No. | 22 016504 |
| When Born | 29th. Octr. 1878 |
| Name | George Herbert |
| Sex | M |
| Name and Surname of Father | Edward Austin |
| Name and Maiden Surname of Mother | Mary Anne Coates |
| Rank or Profession of Father | Carpenter |
| Signature, Description and Residence of Informant | Edward Austin Adelaide |
| When Registered | 23rd. Movr. 1878 |
| Name of Accoucheur | Dr Cornell Adelaide |
| Signature of Registrar | Wm. Millen |
| Remark |
Source: Ancestry - Ontario, Canada Births, 1832-1917