| No. | 059170 33 |
| Surname of child | Foster |
| Christian name | Elmer Clayton |
| Date of Birth | November 4th. 1913 |
| Where born? | 43 Augusta? St. Gale? |
| Sex | Male |
| Are the Parents married? | Yes |
| Full name of Father | Clayton John Foster |
| Where born? | Augusta? St. Gale? |
| Occupation | Carder |
| Maiden name of Mother | Nellie Callahan [sic] |
| If she single or a widow? | |
| Name of Physician in Attendance | Dr. A. Kaiok? |
| Were you in house at time of Birth? | yes |
| Name of Informant | Clayton J. Foster |
| Address | Augusta St. Gale? |
| Date of Return | Nov 10 1913 |
Source: Archives of Ontario; Series: MS929; Reel: 244
Source: Ancestry.com. Ontario, Canada Births, 1858-1913