| No. | 017907 3154 |
| What is the full name of child? | Chapman Arthur Foster |
| When was the child born? | December 6th 1911 |
| Where was the child born? | 8 Locust? St |
| Sex | Male |
| Are the parents married? | Yes |
| Full name of Father | John Edward Chapman |
| Occupation of Father | Laborer Repair Track |
| Full Maiden Name of Mother | Annie Foster |
| If she has been more than once married give names of former husband, or husbands | No |
| Where were the parents married? | Toronto, Ont |
| When were the parents married? | July 20th 1907 |
| Name of Physician in Attendance | Dr. ? K. Stenton |
| Your relation to child | mother |
| Were you in house at time of Birth? | Yes |
| Certified by | Mrs. J.E. Chapman |
| Address | |
| Date | December 28th 1911 |
| Remarks |
Source: Archives of Ontario; Series: MS929; Reel: 218
Source: Ancestry.com. Ontario, Canada Births, 1858-1913