| No. | 023396 12 |
| When Born | November 30th 1879 |
| Name | Mildred |
| Sex | Female |
| Name and surname of Father | Malcolm Rumohr |
| Name and maiden surname of Mother | Mahala Morden |
| Rank or profession of Father | Butcher |
| Signature, description and residence of Informant |
Mrs E. Michell
Claremont |
| When Registered | 3rd. February 1880 |
| Name of Accoucheur | WIlliam Milne M.B. |
| Signature of Registrar | Hector Beaton |
| Remarks |
Source: Archives of Ontario; Series: MS929; Reel: 45
Source: Ancestry.com. Ontario, Canada Births, 1858-1913