When Born: April 19th, 1884
Name: Jane
Sex - Male or Female: Toronto
Name and Surname of Father: Henry Adamson
Name and Maiden Surname of Mother: Elizabeth Beatrice Cooke
Rank or Profession of Father: Farmer
Signature, Description and Residence of Informant: M. Gleason, Greenwood, Ont.
When Registered: June 6th, 1884
Name of Accoucheur: Dr. Warren
Signature of Register: Donald R. Beaton