| General No. | 040402 1656 |
| When Born | March 26th 1892 |
| Name | Effie Chapman |
| Sex | Female? |
| Name of Father | Edgar Chapman |
| Name of Mother | Annie Graham |
| Rank or Profession of Father | Upholsterer |
| Signature, description and residence of Informant |
Emma Pamplin
521 Birch Ave Toronto |
| When Registered | May 13th. 1892 |
| Name of Accoucheur | Dr Foster |
| Signature of Registrar | Jno: O Lewis? |
Source: Archives of Ontario; Series: MS929; Reel: 113
Source: Ancestry.com. Ontario, Canada Births, 1858-1913