The United Empire Loyalists’ Association of Canada · Father Mother MATTICE, John A LOUCKS, Nancy 1800 1803 1823 1882 th 7. 4 Great Grand Parents Father Mother MATTICE, Adam - LOYALIST

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

Privacy

Name in full. MATTHIAS, Donald Walter Date

Maiden Name Phone

Address

Postal

Code

E-Mail address [email protected]

[email protected]

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)

Privacy

2 Applicant Line of Descent From a Loyalist Ancestor

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 Cornwall

County , Stormont, ON

Born

(year)

Married

(year) Died

(year)

2.

Parents

Father

Mother

MATTHIAS, Leslie Earl

MILBURN, Beatrice Mary Louise

1911

1923

1965 2

nd 1966

2005

3.

Grand

Parents Father

Mother

MATTHIAS, William George

SMIRL, Annis Myra

1878

1884

1906

1965

1964 4.

1st Great

Grand

Parents

Father

Mother

MATTHIAS, MATTICE George Riley

INNES, Eleanor

1855 1915 2

nd 1877

5.

2nd

Great

Grand

Parents

Father

Mother

MATTICE / MATTHIAS, William Ira

2nd

: BROWNELL, Margaret

1822

1853

2nd

1903

6.

3rd

Great

Grand

Parents

Father

Mother

MATTICE, John A

LOUCKS, Nancy

1800

1803

1823 1882

7.

4th

Great

Grand

Parents

Father

Mother

MATTICE, Adam - LOYALIST

RUPERT, Amanda

1768

8.

5th

Great

Grand

Parents

Father

Mother

MATTICE, Nicholas II - LOYALIST

INGOLD / INGOLT, Sophia

1718 1753 1796

9.

6th

Great

Grand

Parents

Father

Mother

MATTICE, Nicholas I

KAST, Elizabeth Ann

1701

2nd

10.

7h Great

Grand

Parents

Father

Mother

MATTICE, Hendrick Henry

MELCHIOR, Catharine

1667

11.

8th

Great

Grand

Parents

Father

Mother

MATTHIAS / MATHEYS / MATTAUS /

MATTICE, Casper

Rupert_of_the_Rhine

( James ll Stuart Tinker

12.

9th

Great

Grand

Parents

Father

Mother

Frederick V (de SIMMERN) WITTELSBACH

STUART, Elizabeth

1596

1596

1613 1632;

Mainz,

1662

13.

10h Great

Grand

Parents

Father

Mother

STUART, James I (King of Scotland & Great Britain)

Anne of Denmark

14.

11h Great

Grand

Parents

Father

Mother

Henry (STEWART)MATTHIAS

Mary STUART (42nd Queen) of SCOTS

3

Parents

2. 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

Grandparents

3. Father MATTHIAS, William George Son of

MATTHIAS, George

Riley

Place of

Birth Matthiasville, Muskoka, ON Date 01 Apr 1878

Married at Date 26 Jun 1906

Residence Occupation Carpenter

Place of

Burial New Westminster, BC Death Date

& Place Jan 1965

Mother SMIRL, Annis Myra Daughter of

Occupation

Place of

Birth Moorhead, ON Date

Place of

Burial New Westminster, BC Death Date

& Place Jan 1963

4 Children

and

spouses

if known

Lillian Mildred (b: 03 Apr 1907); baby (b: 31 May 1908; d: 31 May 1908); Hazel Margaret (b:

31 Mar 1909; d: 26 Sep 1909); Charles William Riley (b: 30 Sep 1910); Leslie Earl (b: 23 Dec

1911) married 31 Dec 1935, 1st: Mary Hunter (Divorced), 2ndly, Beatrice Mary Louise Milburn;

Thomas Albert (b: 26 Mar 1913); Eleanor Annis (b: 19 May 1915) married 17 Apr 1934, 1st:

Bernard Patrick Feeney; married 27 Nov 1947, 2nd

: Wallace William K???; Franklin Archibald

(b: Aug 1917); Hugheena Agnes (b: 16 Aug 1922) married 24 Feb 1940, Jack Luenden; George

Frederick (b: 09 Oct 1925) married 23 Oct ???, Kathleen Jennings

1st

Great Grandparents

4. Father

MATTHIAS, George Riley Son of

MATTHIAS /

MATTICE, William Ira

Place of Birth

Lunenburg, Stormont County, ON Date 17 Sep

Married at Uffington, ON Date 17 Jun 18??

Residence

Matthiasville, ON

Calgary, AB

Lacombe and New Westminster, BC

Occupation General Carpenter (wheel

maker; cabinet maker)

Place of

Burial Coquitlam, BC Death Date & Place 18 Sep 1943

Mother INNES, Eleanor Daughter of

Occupation

Place of Birth Date

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

Children

and spouses

if known

William George & Annis Myra Smirl; Margaret Ellen; Beatrice Mabel; Ethel May

2nd

Great Grandparents

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

(In order to keep the land and town of Matthiasville, ON, he changed his

surname to MATTHIAS as the land was registered under MATTHIAS and

he feared he could lose his land in court.)

Son of

MATTICE, John A

LOUCKS, Nancy

Place of Birth Osnabruck, Stormont County, ON Date 22 Jul 1822

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

2nd

: BROWNELL, Margaret

Date 1st: 1842

2nd

: 1853

Residence Matthiasville, ON and Lundenbury, Muskoka River, ON Occupation gristmill owner

Place of Burial Park Lawn Cemetery (formerly known as Humbervale

Cemetery), Etobicoke, ON

Death Date

& Place

28 Aug 1903

Lampton Mill

(Toronto, ON)

Mother BROWNELL, Margaret Daughter of

Occupation

Place of Birth Date

Place of Burial Park Lawn Cemetery (formerly known as Humbervale

Cemetery), Etobicoke, ON

Death Date

& Place

5 Children

and spouses

if known

1st Family (with Rebecca Hannah Ronan): Nathaniel Albert; Wesley John & Anna Perry;

Ferguson Charles & May Evelyne Phillipeau

2nd

Family (with Margaret Brownell) after 1853 and with name change from MATTICE to

MATTHIAS: George Riley & Elizabeth Innes; William; Charles; Samuel; Franklin:

Edgerton; Jacob; Ephraim; Perry Lyons

3rd

Great Grandparents

6. Father MATTICE, John A. Son of

MATTICE, Adam - Loyalist

RUPERT, Amanda Elisabeth

Place of Birth Date 03 Jan 1800

Osnabruck, ON

Married at Osnabruck, Stormont, ON Date 14 Jan 1823

Residence Occupation

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 (as per death

certificate)

Children

and spouses

if known

Anna Margaret (b: 1846); Ephriam Elisha (b: 10 Feb 1842) & Athea Cairns; Nancy

Caroline & James McPherson; Eliza Luerettia (b: 29 Mar 1831); Charles Daniel (b: 28 Jan

1829); John Nelson (b: 17 Oct 1827); Catherine Elizabeth (b: 04 Oct 1825) William Ira

& Margaret Brownell

4th

Great Grandparents

7. Father MATTICE, Adam (LOYALIST) Son of

MATTICE, Nicholas

INGOLT, Sophia

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

Married at Date

Residence Lived at: Livingstonville (East Camp), NY

Settled: Osnabruck Twp., Eastern District, Upper

Canada; Land Grant (200 acres, Lot 34, 5th

concession Cornwall County , Stormont, ON)

Occupation Drummer/Fifer

Geneway‟s Co.,

Butler‟s Rangers 1783

Place of Burial Death Date

& Place

Stormont, ON

Mother RUPERT, Amanda Elizabeth Daughter of

Occupation

Place of Birth Stormont, ON Date Aboujt 1772

Place of Burial Death Date

& Place

6 Children

and spouses

if known

Sophia (b: 11 Mar 1792 Cornwall, Stormont, ON) & Frederick Winter; Nancy (b: 25 Mar 1794

Cornwall, Stormont, ON); Adam (b: 08 Jan 1796, Cornwall, Stormont, ON) & Mary Brownell;

Abraham II (b: 12 Oct 1798 Cornwall, Stormont, ON) & Polly Emily Fletcher; John A. (b: 03

Jan 1800, Cornwall, Stormont, ON) & Nancy Loucks;, Elizabeth (b: 14 Oct 1803, Cornwall,

Stormont, ON); Peter (b: 22 Nov 1805, Cornwall, Stormont, ON); Sarah (b: 22 Oct 1806,

Cornwall, Stormont, ON) m Peter Pabst; Amanda (b: 03 Jul 1809, Cornwall, Stormont, ON) &

James Raymond; Guy Edward (b: 24 Apr 1811, Cornwall, Stormont, ON); Priscilla (b: 12 Jun

1812, Cornwall, Stormont, ON); Nicholas (b: 21 Nov 1814, Cornwall, Stormont, ON; d: 03 Dec

1814); James Harvey (b: 29 Oct 1816, Cormwall, Stormont, ON; d: 17 Nov 1816)

5th Great Grandparents

8. Father MATTICE, Nicholas II, UEL

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 free passage from Germany 1709 (by King George I) and

was provided free land 1712;

lived: Livingston Manor (East Camp), Schoharie, NY ;

settled: New Johnstown, Upper Canada

Occupation Private, KRRNY;

Private, Butler‟s Rangers

Place of

Burial Death Date

& Place

1796, Cornwall, ON

Mother

1st: CASS, Elizabeth

2nd

: INGOLD / INGOLT, Sophia

Daughter of INGOLT, Johannes

BECKER, Anna Margretha

Occupation

Place of

Birth Schoharie Valley, Schoharie, NY Date 04 Jun 1796

Place of

Burial Death Date

& Place

Cornwall, ON

Children

and spouses

if known

David; Lean; Isaac; John (b: 04 Aug 1756), joined RRNY at German Flats; Lot 34, 1st Conc,

Cornwall, ON & Eva Anna HAINES; Gertrude (b: 28 Oct 1758); Nicholas III (b: 26 Jun 1760)

15th Reg‟t, Albany County Militia; KRRNY; 200 acres Bastard Twp., Leeds Co., ON); Margaret

(b: 20 Mar 1763– a twin); Abraham (b: 20 Mar 1763– a twin) & Sarah MOODEY; William II

(b: 31 Jul 1765) & Elisabeth GOOSE; L. Adam (b: 17 Jul 1768) & Elizabeth Ann RUPERT

6th

Great Grandparents

9. Father MATTICE, Nicholas “Johann” “Maltheese”

UEL

Son of

MATTICE, Hendrick

MELCHIOR, Catherine

Place of Birth Duerheim, Altzheim, Palatinate, Germany

Baptized Dishen, Germany

Date christened:

13 Feb 1701

Married at High & Low Dutch Church, Schoharie, NY Date 1715-17

Residence Livingston Manor (East Camp)

East District, Elizabethtown

Occupation

Place of Burial Death Date & Place

Mother KAST, Elizabeth Anna Daughter of KAST, Johan Jurgh

FECK, Anna

Occupation

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

Place of Burial Death Date

& Place

7 Children

and spouses

if known

Anna Dorothea Dorsa (b: 14 Sep 1722, Schoharie, Albany, NY) & George (Jurgen or Johan)

WARNER; Anna (b: about 1727, Schoharie, Albany, NY) & Johannes FREYMAUER; Johan

Nicholaus II (b: 17 May 1716) & 1st Elizabeth CASS & 2ndly Sophia INGOLD / INGOLT;

Catharina & Henry PALMENTINER; Sarah; Friederich I & Gertrude ZIMMER; Johan Jost

‘Joseph’ & 1st Catharina ZIMMER & 2

nd Anna BOUCK; Johan ‘Adam’ & Anna SWART;

Elisabetha (b: 10 Nov 1740; 18 Nov 1737) & Wilhelm BAUCH / BOUCH; Johannes

(christened: 10 Jan 1741); Conrad (christened: 09 Sep 1744; d: 1822) & Eva HAGER;

Johannes (christened: 25 Dec 1750; d: 24 Aug 1820) & Dorothea HAGER; Gertrude

(christened: 21 Apr 1739) & Jacob SNELL; Henrich (b: 04 Jun 1729, Schoharie, NY) & Maria

Magdalena INGOLD (dau Margarath DePeyster & Adam VROOMAN (their daughter, 1st

recorded female born Upper Canada); Frederick (b: 07 Sep 1719; d: 06 Mar 1792) & Gertrude

ZIMMER

7th Great Grandparents

10. Father MATTICE, Hendrick Henry (progenitor to the MATTICE clan) ; aka MATYSSE /

MATYSSEN, Hans Hendrick; aka MATHES, Hindrig

Son of

MATTICE, Caspar

?, Margaretha

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

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

Residence Palatine‟s Village, Schoharie, Mohawk Valley, East

Camp, NY (petition)

Occupation husbandman and

vinedresser

Place of

Burial Mattice Grant, Schoharie County, NY Death Date

& Place

04 Jul 1716

Mother MELCHIOR, Catherine Daughter of MELCHIOR, Peter

?, Margaretha

Occupation PRISONER

Place of Birth Leeheim, Germany

Date 1669

Place of

Burial Death Date

& Place

Before 04 Jun 1716;

Schohaire County, NY

Children

and spouses

if known

Maria Sybilla (b: 1703); Maria & Dirk HAGEDOORN; Sabina (b: 1699; christened 15 Mar

1699) & Conrad BECKER; Catharina (b: 1710, Schoharie, NY) & Hendrick OWENS & Johan

Martie Martin BORST; Nicholas I (christened: 13 Feb 1701 Disnhen, Germany) & Elizabeth

KAST; Elisabeth (b: 29 Oct 1703, Germany); Johan Jost (b: 27 Mar 1706, Germany) &

Margaretha BAUCH; Johann Henrich (b: 14 Dec 1708, Germany)

8th

Great Grandparents

11. Father Prince Rupert

MATTICE, Casper

( James ll Stuart Tinker

Son of

Frederick V,

Elector Palantine

Place of

Birth Wiesbaden, Lower Rhine, Germandy Date 1636

Married

at

Date

Residence Occupation

Place of

Burial Death Date

& Place

8 Mother Margaretha Daughter of

Occupati

on

Place of

Birth Date

Place of

Burial Death Date

& Place

Children

and

spouses

if known

Adolph Best (b: 1658; d: 22 Apr 1698 - Duerheim, Altzheim, Germany); Hendrick ‘Henry’ (b:

1667; d: 04 Jul 1716 on Mattice Grant, Schoharie, County, NY) & Catharine MELCHOIR;

Stephan (b: 1660; d: 12 Sep 1702) & Anna Mageretha LAUZ (b: 1660)

9th Great Grandparents

12 Father Frederick V, Elector Palantine Accepted the crown of Bohemia, an act that initiated the

Thirty Years‟ War, that proved disastrous to the Palatinate

Son of

Frederick IV, Louise Juliana von

Orange-Nassau, the

daughter of William I of

Orange

Place of

Birth

Date 16 Aug 1596

Married at Whitehall Date 14 Feb 1613

Residence Occupation

Place of

Burial

Death Date

& Place

29 Nov 1632; Mainz,

Mother STUART, Elizabeth, Joint Administrator of

Kurpfalz (Germany) Aunt of King Charles II

Daughter of STUART, James I (King

of Scotland & Great

Britain)

Anne of Denmark

Occupation

Place of

Birth

Date 1596

Place of

Burial

Death Date

& Place

1662

Children

and spouses

if known

Karl Ludwig (1617-1680), who regained the Palatinate at the Peace of Westphalia in

1648,

Elizabeth, Princess-Abbess of Herford (1618-1680) and the later Electress Sophie of

Hannover and Heir to the English throne (1630-1714)

10th

Great Grandparents 13 Father Frederick IV, Elector Palatine of the Rhine Son of

Louis VI, Elector

Palatine and Elisabeth

of Hesse, Place of

Birth

Date

9 Married at Date

Residence Occupation

Place of

Burial

Death Date

& Place

Mother STUART, James I (King of Scotland & Great Britain)

Anne of Denmark 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

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

Agency, Victoria, BC.

2. Parent Privacy

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 MATTICE

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

MATTICE /MATHIAS, George Riley, the son of William Ira MATTHIAS

Proof 4: George Riley MATTICE Birth Record, the son of MATTHIAS, William Ira

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

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

Archives of Ontario, Toronto, ON. Western Loyalists Land Grants #60 #37

5. 2nd

Great

Grandparent

MATTHIAS,MATTICE William Ira, the SON of John A MATTICE

10 Proof 5A Archives Canada Mattice family

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 Bouck of Schoharie & Ontario. http://www.scribd.com/doc/12904037/Bouck-of-Schoharie-Ontario

Hand written documents from book Archives Canada

Mattice, Rex George, 1886 Pages 181 5C Veterans of the American Civil War

http://www.rootsweb.ancestry.com/~onstormo/research-civilwar.html

5D History of the Province of https://archive.org/details/cihm_26811

Archives of Ontario, Toronto, ON. Western Loyalists Land Grants #5

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. http://en.wikipedia.org/wiki/File:Province_of_Upper-Canada_land_deed.jpg

6C Duncan (Darby) MacDonald http://amicus.collectionscanada.gc.ca/aaweb-bin/aamain/itemdisp?sessionKey=999999999_142&l=0&d=2&v=0&lvl=1&itm=22967311

7. 4th

Great

Grandparent

MATHIAS, Adam - LOYALIST the son of MATTICE, Nicholas II

Proof 7. land grant for military service in Butler's Rangers as a Drummer; Crown Land

Records, Township Papers (Township of Osnabruck) RG1, MS 658 Reel 357,

Ontario Archives, Toronto, ON. (6 pages)

8. 5th

Great

Grandparent

8. MATTICE, Nicholas II the son of MATHIAS, Nicholas “Johann”

Proof 8A Bastard Twp Book H page 177 petitien m 95

8B Elizabrthtown Twp Book H page 290 m151

8C Osnabruck Book I page 246 M 178

9. 6th

Great

Grandparent

9. MATTICE, Nicholas “Johann” the son of. MATHIAS, Hendrick Henry

Proof

10. 7rd

Great

Grandparent

10. MATTICE, Hendrick Henry the son of

Proof

11. 8th

Great

Grandparent

11 Prince Rupert

MATHEYS / MATTHIAS / MATTICE , Caspar

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

Proof http://www.hbcheritage.ca/hbcheritage/collections/archival/charter/charter.asp

11 12. 9

th Great

Grandparent

STUART, Elizabeth, of Kurpfalz (Germany) Aunt of King Charles II Frederick V (de SIMMERN) WITTELSBACH

Proof http://fabpedigree.com/s066/f002588.htm

http://fabpedigree.com/s067/f002588.htm

13. 9th

Great

Grandparent

King James I MATTHIAS Sension

Anne (Princess) of DENMARK

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

http://fabpedigree.com/s035/f005177.htm

14. 10th

Great

Grandparent

Henry (STEWART)MATTHIAS

Mary STUART (42nd Queen) of SCOTS

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

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

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 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. 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.

|____| DO NOT 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

12 Donald Walter Matthias

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

Adam Mattice ______________________________________________________________________________________________

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.

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: Adam Mattice

Applicant Name (printed): Donald Walter Matthias

13

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.