Statement of Birth dated Sept 16, 1953
Name: William Stacey
Address: Cartwright Post Office, Manitoba
Date of Birth: 10 Apr 1898
Gender: Male
Birth County or District: Peterborough
Father's Name: John Christopher Stacey (er at end of Christopher is typed on next line)
Mother's name: Martha Loucks (s is overtyped but that is how I read it)
Archive Name: Archives of Ontario
Archive Series: MS930
Archive Reel: 26
Father's Permanent Address: Bowsman, Manitoba - a farmer
Father's age at time of birth: 29 Born in Ontario
Mother's Permanent Address: Deceased
Mother's age at time of birth: 31 Born in unknown