the united empire loyalists’ association of canada · father mother matthias, leslie earl...

13
1 The United Empire Loyalists’ Association of Canada 50 Baldwin Street, Suite 202, Toronto, Ontario, M5T 1L4 Telephone (416) 591-1783 Fax (416) 591-7506 Email: [email protected] CERTIFICATE APPLICATION BRANCH: VANCOUVER BRANCH ADDRESS: 11430 95A Avenue, Delta, BC V4C 3V5 Applicant Title Name in full. Donald Walter MATTHIAS Date Maiden Name Phone Address Postal Code E-Mail address Privacy Place of Birth Date Married at Date Husband/Wife Full Name Son or Dau of Place of Birth Date Place of Burial Date Children (Names in Full and Birth Dates) Loyalist Ancestor Information Loyalist Ancestor MATTICE, Adam Military Service (Rank & Regt. If known) Drummer / Fifer Geneway’s Company, Butler’s Rangers - 1783 Where Settled (date & Location) 200 acres Lot 34, 5th concession ; Osnabruck, Stormont Co., ON Applicant Line of Descent From a Loyalist Ancestor #

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Page 1: The United Empire Loyalists’ Association of Canada · Father Mother MATTHIAS, Leslie Earl MILBURN, Beatrice Mary Louise (2nd Wife) 1911 1923 1945 1966 3. Grand Parents Father Mother

1

The United Empire Loyalists’

Association of Canada 50 Baldwin Street, Suite 202, Toronto, Ontario, M5T 1L4

Telephone (416) 591-1783 Fax (416) 591-7506

Email: [email protected]

CERTIFICATE APPLICATION

BRANCH: VANCOUVER

BRANCH ADDRESS: 11430 – 95A Avenue, Delta, BC V4C 3V5

Applicant

Title

Name in full. Donald Walter MATTHIAS Date

Maiden Name Phone

Address

Postal

Code

E-Mail address Privacy

Place of Birth Date

Married at Date

Husband/Wife

Full Name

Son or

Dau of

Place of Birth Date

Place of Burial Date

Children

(Names in Full

and Birth Dates)

Loyalist Ancestor Information

Loyalist Ancestor

MATTICE, Adam

Military Service

(Rank & Regt. If

known)

Drummer / Fifer

Geneway’s Company, Butler’s Rangers - 1783

Where Settled

(date & Location)

200 acres – Lot 34, 5th concession ; Osnabruck, Stormont Co., ON

Applicant Line of Descent From a Loyalist Ancestor

#

Page 2: The United Empire Loyalists’ Association of Canada · Father Mother MATTHIAS, Leslie Earl MILBURN, Beatrice Mary Louise (2nd Wife) 1911 1923 1945 1966 3. Grand Parents Father Mother

2 Loyalist Ancestor

MATTICE, Adam

Military Service

(rank & regt if known)

Drummer / Fifer Geneway’s Company, Butler’s Rangers - 1783

Where Settled

(date & Location)

200 acres, Lot 34, 5th Concession, ; Osnabruck,

Stormont Co., ON

Born

(year)

Married

(year) Died

(year)

2.

Parents

Father

Mother

MATTHIAS, Leslie Earl

MILBURN, Beatrice Mary Louise (2nd

Wife)

1911

1923

1945

1966

3.

Grand

Parents Father

Mother

MATTHIAS, William George

SMIRL, Annis Myra

1878

1965

1963 4.

1st Great

Grand

Parents

Father

Mother

MATTHIAS, George Riley

INNES, Eleanor

1855 1877

5.

2nd

Great

Grand

Parents

Father

Mother

MATTICE / MATTHIAS, William Ira 1

st: RONAN, Rebecca Hannah at Russell, ON (1823-

1847)

2nd

: BROWNELL, Margaret Stormont

1823

1853

1902

6.

3rd

Great

Grand

Parents

Father

Mother

MATTICE, John A

LOUCKS, Nancy

1800 1882

7.

4th

Great

Grand

Parents

Father

Mother

MATTICE, Adam

RUPERT, Amanda

1768

8.

5th

Great

Grand

Parents

Father

Mother

MATTICE, Nicholas II

INGOLD / INGOLT, Sophia

1718

1753

1796

9.

6th

Great

Grand

Parents

Father

Mother

MATTICE, Nicholas I

KAST, Elizabeth Ann

1701

10.

7h Great

Grand

Parents

Father

Mother

MATTICE, Hendrick Henry

MELCHIOR, Catharine

1667

11.

8th

Great

Grand

Parents

Father

Mother

MATTHIAS / MATTICE / Caspar

(aka MATTHEWS ( James ll Stuart Tinker)?

1633 1701

12.

9th

Great

Grand

Parents

Father

Mother

Charles I (Stuart )

(aka MATTHEWS MATTHIAS (Stuart )

1625

1649

13.

10h Great

Grand

Parents

Father

Mother

James I (Stuart )

(aka James Sension MATTHIAS \ MATTHEWS

1603 1625

14.

11h Great

Grand

Parents

Father

Mother

(aka MATTHEWS Matthias I & Mary Tinker ?

elizabeth-1-queen

1542- 1587)

Page 3: The United Empire Loyalists’ Association of Canada · Father Mother MATTHIAS, Leslie Earl MILBURN, Beatrice Mary Louise (2nd Wife) 1911 1923 1945 1966 3. Grand Parents Father Mother

3 Parents

2. Father MATTHIAS, Leslie Earl Son of

Place of

Birth Date

Married at Date

Residence Occupation

Place of

Burial Privacy

Death Date

& Place

Mother Daughter of

Occupation

Place of

Birth Date

Place of

Burial Death Date

& Place

Children

and spouses

if known

Grandparents

3. Father MATTHIAS, William George Son of

MATTHIAS, George

Riley

Place of

Birth Matthiasville, Muskoka ON Date 01 Apr 1878

Married at Vancouver, B.C. Date 26 Jun 1906

Residence 4 th

Ave and 4th

street

New Westminster, BC

Occupation Carpenter

Place of

Burial Coquitlam, BC Death Date

& Place 06 Jan 1965

Mother SMIRL, Annis Myra Daughter of Thomas W. Smirl

Annice Marselis

Occupation

Place of

Birth Date 24 Mar 1884

Place of

Burial New Westminster, BC Death Date

& Place Jan 1963

Children

and

spouses

if known

Lillian Mildred; Hazel Margaret ; Charles William Riley; Leslie Earl (HUNTER, Mary Hunter &

MILBURN, Beatrice Mary); Thomas Albert; Eleanor Annis (FEENEY, Bernard Patrick &

(unknown),WallaceWilliam); Franklin Archibald; Hugheena Agnes (LUENDEN, Jack); George

Frederick (JENNINGS, Kathleen);

1st

Great Grandparents

4. Father

MATTHIAS, George Riley Son of

MATTHIAS, William Ira

(aka MATTICE, William

Ira)

Page 4: The United Empire Loyalists’ Association of Canada · Father Mother MATTHIAS, Leslie Earl MILBURN, Beatrice Mary Louise (2nd Wife) 1911 1923 1945 1966 3. Grand Parents Father Mother

4 Place of Birth

Lunenburg, Stormont., ON Date 1855

Married at Muskoka Co., ON Date 11 Jun 1877

Residence

Matthiasville, ON;

Calgary, AB; Lacombe, New

Westminster, BC

Occupation General Carpenter

Place of

Burial New Westminster, BC Death Date & Place 18 Sep 1943

Mother INNES, Eleanor Daughter of INNES, George

INNES, Ellen

Occupation

Place of Birth Date 1844

Place of Burial Coquitlam, BC Death Date & Place 15 Jul 1914

Children

and spouses

if known

William George (SMIRL, Annis Myra); Margaret Ellen; Beatrice Mabel; Ethel May;

2nd

Great Grandparents

5. Father MATTICE, William Ira 1853: changed name to MATTHIAS, William Ira

Son of

MATTICE, John A

LOUCKS, Nancy

Place of Birth Osnabruck, Stormont ON Date 22 Jul 1823

Married at 1st: RONAN, Rebecca Hannah at Russell, ON (1823-1847)

2nd

: BROWNELL, Margaret Stormont

Date 1st: 1842

2nd

: 1853

Residence Matthias Ville., ON and Lundenbury, Muskoka River,

ON

Occupation Gristmill Owner

Place of Burial Park Lawn Cemetery, Etobicoke., ON (formerly known

as Humbervale Cemetery)

Death Date

& Place

28 Aug 1902

Mother BROWNELL, Margaret Daughter of

Occupation

Place of Birth Date

Place of Burial Park Lawn Cemetery, Etobicoke (formerly known as

Humbervale Cemetery)

Death Date

& Place

Children

and spouses

if known

Family one: (1st wife, RONAN, Rebecca Hannah); MATTICE, Nathaniel Albert; MATTICE,

Wesley John (PERRY, Anna); MATTICE, Ferguson Charles (PHILLIPEAU, May Evelyne);

Family two: (2nd

wife, BROWNELL, Margaret *after surname change) MATTHIAS, George Riley

(INNES, Elizabeth); MATTHIAS, William; MATTHIAS, Charles; MATTHIAS, Samuel;

MATTHIAS, Franklin; MATTHIAS, Edgerton; MATTHIAS, Jacob; MATTHIAS, Ephraim;

MATTHIAS, Perry Lyons;

3rd

Great Grandparents

6. Father MATTICE, John A. Son of

MATTICE, Adam - Loyalist

RUPERT, Amanda Elisabeth WINTER

Place of Birth Osnabruck, Stormont.,ON Date 03 Jan 1800

Page 5: The United Empire Loyalists’ Association of Canada · Father Mother MATTHIAS, Leslie Earl MILBURN, Beatrice Mary Louise (2nd Wife) 1911 1923 1945 1966 3. Grand Parents Father Mother

5 Married at Osnabruck, Stormont ON Date 14 Jan 1823

Residence Occupation Lumber in sawmill

Place of Burial Death Date

& Place

22 Jan 1882

Osnabruck,., ON

Mother LOUCKS, Nancy Daughter of

Occupation

Place of Birth Date 1804

Place of Burial Death Date

& Place

15 Apr 1881

Children

and spouses

if known

Anna Margaret; Ephriam Elisha (CAIRNS, Athea); Nancy Caroline (McPHERSON, James);

Eliza Luerettia; Charles Daniel; John Nelson; Catherine Elizabeth; William Ira

(BROWNELL, Margaret);

4th

Great Grandparents

7. Father MATTICE, Adam L (aka MATTHIAS Son of

MATTICE, Nicholas

INGOLT, Sophia

Place of Birth Schoharie Co., NY (Mohawk Valley) Date Chr: 01 Jul 1768

Married at Date

Residence Livingstonville, Schoharie Co., NY (East Camp);

Osnabruck Twp., Eastern District, Upper Canada;

(Land Grant 200 acres, Lot 34, 5th concession

Cornwall, Stormont Co., ON)

Occupation Drummer/Fifer

Geneway’s Co.,

Butler’s Rangers

1783

Place of Burial Death Date

& Place

Stormont., ON

Mother RUPERT, Amanda Elizabeth, WINTER http://www.uelac.org/Loyalist-Info/extras/Winters-

Henry/Winters-Family-Chronology-by-Guylaine-Petrin.pdf

Daughter of WINTER

Occupation

Place of Birth Date 1772

Place of Burial Death Date

& Place

Children

and spouses

if known

Sophia (WINTER, Frederick); Nancy; Adam (BROWNELL, Mary); Abraham II (FLETCHER,

Polly Emily); John A.(LOUCKS, Nancy); Elizabeth; Peter ; Sarah (PABST, Peter); Amanda

(RAYMOND, James); Guy Edward; Priscilla; Nicholas; James Harvey;

5th Great Grandparents

8. Father MATTICE, Nicholas II

(aka MATTHEWS, John Nicholas)

Son of

MATTICE, Nicholas

KAST, Elizabeth Anna

Place of

Birth Weiserdorf, NY Date 17 May 1718

Married at Date 29 Sep 1753

Residence Livingston Manor, Schoharie Co., NY (East Camp);

New Johnstown, Upper Canada

Occupation Private, KRRNY;

Private, Butler’s

Rangers

Page 6: The United Empire Loyalists’ Association of Canada · Father Mother MATTHIAS, Leslie Earl MILBURN, Beatrice Mary Louise (2nd Wife) 1911 1923 1945 1966 3. Grand Parents Father Mother

6 Place of

Burial Death Date

& Place 1796, Cornwall,., ON

Mother

INGOLD / INGOLT, Sophia Daughter of INGOLT, Johannes

BECKER, Anna Margretha

Occupation

Place of

Birth Schoharie Valley, Schoharie NY Date

Place of

Burial Death Date

& Place Cornwall, ON

Children

and spouses

if known

David; Lean; Isaac; John (HAINES, Eva Anna); Gertrude; Nicholas III; Margaret (twin);

Abraham (twin) (MOODEY, Sarah); William II (GOOSE, Elisabeth); Adam (RUPERT, Elizabeth

Ann);

6th

Great Grandparents

9. Father MATTICE, Nicholas 1(aka MATTHIAS Son of

MATTICE, Hendrick

MELCHIOR, Catherine

Place of Birth Duerheim, Altzheim, Palatinate, Germany

Baptized Dishen, Germany

Date

Chr. 13 Feb 1701

Married at High & Low Dutch Church, Schoharie., NY Date 1716

Residence Livingston Manor,., NY (East Camp) Occupation

Place of Burial Death Date & Place 1793

Mother KAST, Elizabeth Anna sister" Sarah

Kast"+"Timothy McGinnis" http://www.uelac.org/Loyalist-

Info/detail.php?letter=m&line=534

TRUE STIRY Jannie http://www.armchairgeneral.com/forums/showthread.p

hp?t=82409

Daughter of KAST, Johan

GEORGE

FECK,_(feg_) Anna

Occupation

Place of Birth Palatine, Pfalz, Bavaria, Germany Date 1703

Place of Burial Death Date

& Place

Children

and spouses

if known

Anna Dorothea Dorsa (WARNER, George); Anna (FREYMAUER, Johannes); Johan Nicholaus

II (CASS, Elizabeth; INGOLD/INGOLT, Sophia); Catharina (PALMENTINER, Henry); Sarah;

Friederich I (Johan Jost (ZIMMER, Catharina; BAUCH, Anna); Johan ‘Adam’ (SWART,

Anna); Elisabetha (BAUCH/BOUCH, Wilhelm); Johannes ; Conrad (HAGER, Eva); Johannes

(HAGER, Dorothea); Gertrude (SNELL; Jacob); Henrich (INGOLD, Maria Magdalena);

7th Great Grandparents

10. Father MATTICE, Hendrick Son of

(aka MATTHEWS

Place of Birth in Durheim, Alzheim, Lower Rheine, Date 1667

Married at Of, Dienheim, Rheinhessen, Hessen, Germany 1695

Residence Palatine’s Village, Schoharie., NY (East Camp)

Occupation Husbandman and

Vinedresser

Place of

Burial Mattice Grant, Schoharie NY Death Date

& Place 04 Jul 1717

Page 7: The United Empire Loyalists’ Association of Canada · Father Mother MATTHIAS, Leslie Earl MILBURN, Beatrice Mary Louise (2nd Wife) 1911 1923 1945 1966 3. Grand Parents Father Mother

7 Mother MELCHIOR, Catherine Daughter of MELCHIOR, Peter

Occupation Prisoner

Place of Birth Leeheim, Germany

Date 1669

Place of

Burial Death Date

& Place Before 04 Jun 1716;

Schohaire., NY

Children

and spouses

if known

Maria Sybilla; Maria (HAGEDOORN, Dirk); Sabina (BECKER, Conrad); Catharina (OWENS,

Hendrick; BORST, Johan Martie Martin); Nicholas I (KAST, Elizabeth); Elisabeth; Johan Jost

(BAUCH, Margaretha); Johann Henrich;

8th

Great Grandparents

11.

Father MATTHIAS / MATTICE / Caspar

(aka MATTHEWS ( James ll Stuart Tinker) http://www.britannia.com/history/legend/berks/jastinkbal.html

Prisoner

Son of

Charles I MATTHIAS(aka

MATTHEWS

Place of

Birth

http://the-red-thread.net/genealogy/Sension-St.John.html

http://fabpedigree.com/s050/f189192.htm

Date 14-Oct-1633

.1636

Married at Date

Residence

Occupation

Place of

Burial Lewis iron mask Sun King (Tinker Saint-Germain-en-Laye, France

Death Date

& Place ( James ll Stuart

Cause of death:

Cerebral

hemorrhage

16-Sep-1701

Mother (Unknown), Margaretha ) (1st wife) Anne HYDE

Mary Beatrice (of MODENA) d' ESTE

(James' mistress) Arabella CHURCHILL

Henriette Marie (de) BOURBON

Daughter of

Occupation

Place of

Birth Date

Place of

Burial Death Date

& Place

Children

and spouses

if known

Adolph Best; Hendrick ‘Henry’ (MELCHOIR, Catharine); Stephan (LAUZ, Anna Mageretha);

9th Great Grandparents

Page 8: The United Empire Loyalists’ Association of Canada · Father Mother MATTHIAS, Leslie Earl MILBURN, Beatrice Mary Louise (2nd Wife) 1911 1923 1945 1966 3. Grand Parents Father Mother

8 12 Father Charles I ( Beheaded )

James I aka Matthias James Sension (aka MATTHEWS Matthias I & Mary Matthias II

Mary Tinker Stuart (42nd

Queen

( Beheaded ) Sension

Son of

Place of

Birth http://the-red-

thread.net/genealogy/Sension-St.John.html

Date

Married at Date

Residence Occupation

Place of

Burial

Death Date

& Place

Mother Daughter of

Occupation

Place of

Birth

Date

Place of

Burial

Death Date

& Place

Children

and spouses

if known

10th

Great Grandparents 13 Father Son of

Place of

Birth

Date

Married at Date

Residence Occupation

Place of

Burial

Death Date

& Place

Mother Daughter of

Occupation

Place of

Birth

Date

Place of

Burial

Death Date

& Place

Children

and spouses

if known

11th

Great Grandparents

Page 9: The United Empire Loyalists’ Association of Canada · Father Mother MATTHIAS, Leslie Earl MILBURN, Beatrice Mary Louise (2nd Wife) 1911 1923 1945 1966 3. Grand Parents Father Mother

9 13 Father

Son of

Place of

Birth

Date

Married at Date

Residence Occupation

Place of

Burial

Death Date

& Place

Mother Daughter of

Occupation

Place of

Birth

Date

Place of

Burial

Death Date

& Place

Children

and spouses

if known

PROOFS OF LINEAL DESCENT List your direct line of descent, beginning with yourself, one person in each generation to your Loyalist ancestor. Lineal descent is

proved by the use of documents which state the relationship of two individuals to each other. The document must state the fact to be proved: e.g. “William, THE SON of Henry Smith ...”

Attach copies of your proofs to the back of the application.

1. Applicant MATTHIAS, Donald Walter, the son of Leslie Earl MATTHIAS

Proof 1: BC Birth Certificate #15627798, Ministry of Health Planning; Vital Statistics

Agency, Victoria, BC.

2. Parent MATTHIAS, Leslie Earl, the son of William George MATTHIAS

Proof 2: BC Birth Certificate #90027145, Ministry of Health Planning; Vital Statistics

Agency, Victoria, BC.

3. Grandparent MATTHIAS, William George, the son of George Riley MATTHIAS

Proof 3: Schedule A - Births, Folio 662, District of Muskoka; Ontario, Canada Births,

1869-1909,MS 929_34; Archives of Ontario, Toronto, ON.

4. 1st Great

Grandparent

MATHIAS, George Riley, the son of William Ira MATTHIAS

Proof 4: Schedule B - Marriages, Folio 540, County of Muskoka; Ontario, Canada

Marriages, 1857-1924, MS 932_24; Archives of Ontario, Toronto, ON. Western

Land Grants #60 #37 1871 census 085h family 053 1881 census @ca.on.131h family 01

Declaration of Canada ~Province of Ontario ~ 1926 John Wesley Mattice and brother Jacob Matthias

Hattie Louise Mattice

5. 2nd

Great

Grandparent

MATHIAS, William Ira, the SON of John A MATTHIAS

Page 10: The United Empire Loyalists’ Association of Canada · Father Mother MATTHIAS, Leslie Earl MILBURN, Beatrice Mary Louise (2nd Wife) 1911 1923 1945 1966 3. Grand Parents Father Mother

10 Proof 5A book Archives Canada

http://amicus.collectionscanada.gc.ca/aaweb-

bin/aamain/itemdisp?sessionKey=999999999_142&l=0&lvl=1&v=0&itm=31505477&rt=1&bill=1

5B Hand written documents from book Archives Canada

Bouck of Schoharie & Ontario.

Mattice, Rex George, 1886 http://www.scribd.com/doc/12904037/Bouck-of-Schoharie-Ontario

6. 3rd

Great

Grandparent

MATHIAS, John A, the son of Adam L MATTICE

Proof 6A. Record of Petition as SUE, Warrants of UEL, Claimant and Children; Crown

Lands Records, RG1, C-1-1, Vol 3,; Ontario Archives, Toronto, ON.

6B. Record from "An Annotated Nominal Roll of Butler's Rangers 1777-1784 with

Documentary Sources" by Smy, William A, Lt. Col.

7. 4th

Great

Grandparent

MATHIAS, Adam, the SON of Nicholas MATTICE II

Proof 7 a) Muster Roll, Butler’s Rangers

7 b) Land Grant (200 acres, Lot 34, 5th concession Cornwall County , Stormont, ON)

http://bowergenealogy.ca/resources/lutheran/A/013.jpg

http://bowergenealogy.ca/resources/lutheran/A/008.jpg

8. 5th

Great

Grandparent

MATHIAS, Nicholas11, the SON of Nicholas MATTICE I

Proof 8 a) Muster Roll, Butler’s Rangers

8 b) Land Grant (East District, Elizabethtown)

9. 6th

Great

Grandparent

, Nicholas1, the SON of Hendrick Henry MATTICE http://bowergenealogy.ca/resources/lutheran/A/004.jpg

Proof New York Estates Confiscated

To his Excellency The Honorable Sir Charles

Hardy Esq TREATMENT OF INDIANS. ? http://archive.org/stream/cu31924028834541/cu31924028834541_djvu.txt

9 a) New York Estates Confiscated

The Military and CivilTitles given in the list had been granted under the

Colony before the War. ... Mattice Hendrick Mattice Johannis Nicholas

10. 7rd

Great

Grandparent

MATHIAS, Hendrick Henry the SON of (aka MATTHEWS

‘’Tee Yee Ho Ga Row" ? http://community.fortunecity.ws/millenium/greendale/152/findex2.htm

Proof 10 a) New York Estates Confiscated

The Military and CivilTitles given in the list had been granted under the

Colony before the War. ... Mattice Hendrick Mattice Johannis Nicholas

Page 11: The United Empire Loyalists’ Association of Canada · Father Mother MATTHIAS, Leslie Earl MILBURN, Beatrice Mary Louise (2nd Wife) 1911 1923 1945 1966 3. Grand Parents Father Mother

11 11. 8

th Great

Grandparent

(aka MATTHEWS James I I (Stuart ) Tinker

Proof http://fabpedigree.com/s050/f189192.htm

Proof

12. 9th

Great

Grandparent

Charles I

(aka MATTHEWS MATTHIAS (Stuart )

Proof

Proof

http://fabpedigree.com/s000/f378385.htm

13. 10th

Great

Grandparent

James I (Stuart )

(aka James Sension MATTHIAS \ MATTHEWS

Proof http://the-red-thread.net/genealogy/Sension-St.John.html

http://fabpedigree.com/s034/f005177.htm

Proof

14. 11th

Great

Grandparent (aka MATTHEWS MATTHIAS (Stuart )

(aka MATTHEWS Matthias I & Mary Matthias

Henry http://fabpedigree.com/s069/f010354.htm

http://the-red-thread.net/genealogy/Sension-St.John.html

http://fabpedigree.com/s068/f010354.htm

Proof

Have any of your relatives been members of the association? If so, give name, relationship, Branch and approximate date . _____________________________________________________________________________________________ Have you at any time made application to any other Branch of the Association? If so, give date and Branch.

No _____________________________________________________________________________________________

OATH OF ALLEGIANCE (Applicants for Regular Membership) I, Donald Walter MATTHIAS, do swear (or affirm) to remain loyal and give true allegiance to HER MAJESTY QUEEN ELIZABETH THE SECOND. Signature ______________________________________ X______________________________________________________________________________________________

AFFIDAVIT I, Donald Walter MATTHIAS, do swear (or affirm) that the statements as set forth in this application are true and correct to the best of my knowledge and belief.

Page 12: The United Empire Loyalists’ Association of Canada · Father Mother MATTHIAS, Leslie Earl MILBURN, Beatrice Mary Louise (2nd Wife) 1911 1923 1945 1966 3. Grand Parents Father Mother

12 Signature ______________________________________ ______________________________________________________________________________________________ PERMISSION TO USE INFORMATION

The proofs of lineal descent of accepted members become the property of the Association. One copy is placed in the Association ‘s

permanent archives. An ongoing program of microfilming these records will make this genealogical information available to

researchers.

| X | DO GRANT PERMISSION for information in this application to be used and/or published.

|____| Grant permission for information in this application to be used and/or published

Date _________________________________________________ Signature ______________________________________

___________________________________________________________________________________________ PRINT NAME IN BLOCK LETTERS AS YOU WISH IT TO APPEAR ON CERTIFICATE

DONALD WALTER MATTHIAS

______________________________________________________________________________________________ PRINT LOYALIST ANCESTOR’S NAME IN BLOCK LETTERS AS YOU WISH IT TO APPEAR ON CERTIFICATE ______________________________________________________________________________________________

BRANCH GENEALOGIST Branch Name VANCOUVER E-mail address: [email protected] ________________________________ ________________________________ ________________________ Signature Recommendation Date ________________________________________________________________________________________________

DOMINION GENEALOGIST _______________________________ __________________________ _____________ Signature Recommendation Date

Permission to Publish

By checking the box allowing your information to be "published", you will further the community interests of

Loyalists.

As a rule, all newly approved members have their applicant name, their loyalist name and their United Empire

Loyalist Association branch name published in the UELAC gazette, and for some branches, in the branch

newsletter. All other personal contact information is protected and those seeking to contact you, such as

possible relations, will have to leave their own contact information with your branch, and you will then contact

them. Your branch may allow you to file a consent so that the branch can help others, such as relatives, get in

touch with you directly, or so that the branch may act as your agent by providing selected information on your

behalf.

The Association Council allows scholars and institutions access to other personal contact information for

academic purposes, and approves each request individually.

Page 13: The United Empire Loyalists’ Association of Canada · Father Mother MATTHIAS, Leslie Earl MILBURN, Beatrice Mary Louise (2nd Wife) 1911 1923 1945 1966 3. Grand Parents Father Mother

13 An open-access website to interest potential new members has been proposed but with access to only

archival information current to the same historical dates used by The Ontario Archives (births up to 97 years

ago, marriages 82 years and deaths 72 years). Your permission will allow the Association the ability to

further this aim.

If and whenever personal contact information is involved, permission to publish will always be sought

from each member as per our privacy policy available from our web site at http://www.uelac.org or directly at

http://www.uelac.org/privacy.pdf .

Loyalist Name:

Applicant Name (printed): DONALD WAITER MATTHIAS

Signature: _______________________________ Date: ________________

If you are giving permission to publish for certificates issued to you previously, list the Loyalist Names, and MC

Numbers, where known, below.