certificate application

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: HAMILTON
BRANCH ADDRESS: c/o MICHELE LEWIS, HAMILTON BRANCH GENEALOGIST
535 KASTELIC PLACE, BURLINGTON ON L7N 3S9
Applicant
Title
Ms.
Name in full.
Patsy Jean Blackburn
Date
November 3, 2008
Maiden Name
private
Phone
Private
Address
Private
Postal Code
Private
E-Mail address
Private
Occupation
Private
Place of Birth
Private
Date
Private
Married at
Date
Husband/Wife
Full Name
Occupation
Son or
Dau of
Place of Birth
Date
Place of Burial
Date
Children
(Names in Full
and Birth
Dates)
Loyalist Ancestor Information for Patsy Jean Blackburn nee Dafoe
HENRY ZUFELT
Loyalist Ancestor
Military Service
(Rank & Regt. If
known)
Where Settled
(date & Location)
Loyal Rangers Commanded by Edward Jessup 1781
Bundle 8, No.1, 1807 Hallowell, Ontario
Township of Adolphustown (East Lake) Prince Edward County
2
Applicant Line of Descent From a Loyalist Ancestor – (Patsy Jean Blackburn nee Dafoe)
HENRY ZUFELT
Loyalist Ancestor
2.
3.
4.
Military Service
(rank & regt if known)
Where Settled
(date & Location)
Father
Parents
Mother
Grand
Father
Parents
Mother
1st Great
Father
Grand
Parents
5.
2nd Great
Grand
Parents
6.
3rd Great
Grand
Parents
7.
4th Great
Grand
Parents
8.
5th Great
Grand
Parents
th
9.
6 Great
Grand
Parents
10.
7h Great
Grand
Parents
11.
8th Great
Grand
Parents
12.
9th Great
Grand
Parents
h
13.
10 Great
Grand
Parents
Mother
Father
Mother
Father
Mother
Father
Mother
Father
Mother
Father
Mother
Father
Mother
Father
Mother
Father
Mother
Father
Mother
Loyal Rangers Commanded by Edward Jessup 1781
Bundle 8, No. 1, 1807 Hallowell, Ontario,
Township of Adolphustown,
Born
(year)
Married
(year)
Died
(year)
William Everett Zufelt
Mary Emmott
1897
1891
1918
1918
1951
1969
John Lester Zufelt
Isabella Baker
1862
1864
1881
1881
1939
1931
William Howell Zufelt
Emerilla Dingman
1832
1838
Daniel Zufelt
Lydia Tripp
1802
1804
1822
1822
?
1879
HENRY ZUFELT
Elizabeth Young
1759
1760
1783
1783
?
1910
1904
?
3
PARENTS
2.
Father
Carman Luther Dafoe (Deceased)
Son of
Place of
Birth
Married
at
Residence
Corbyville, Ontario
Date
Harry Frizzell Dafoe
Sarah Stella
Hollinger
Jan. 5, 1920
Frankford, Ontario
Date
Nov. 9, 1940
5th Conc. Of Thurlow Township
Occupation
Machinist/Farmer
Place of
Burial
Elmwood Cemetery, River Road South, Corbyville,
Ontario
Death Date
& Place
Mother
Gladys Miriam Dafoe (nee Zufelt)
Daughter of
Feb. 9, 1999
Belleville, Ontario
Hospital
William Everett
Zufelt/ Mary Emmott
Occupation
Homemaker
Place of
Birth
Place of
Burial
Children
and spouses
if known
3.
Conc. 9 Murray Township (at home)
Date
Sept. 15, 1922
Death Date
& Place
Patsy Jean – married Melvyn Blackburn (DIVORCED)
Judith Ann – married John Roy Holgate
Susan Dawn – married Peter Moore Bailey
Rodney Alan – married Joanne Cunningham Barrett
Sandra Lee – married James Thompson
Grandparents
William Everett Zufelt
Father
Place of
Birth
Married
at
Residence
Campbellford, Ontario
Date
John Lester Zufelt
Isabella Baker
Sept. 8, 1897
England
Date
July 12, 1918
Lot 5, Conc. 9 Murray Township – Ontario
Occupation
Barber/Farmer
Place of
Burial
Mother
Stockdale Cemetery, Stockdale, Ontario
Death Date
& Place
Daughter of
Dec. 23, 1951
Belleville, Ontario
Occupation
Homemaker
Place of
Birth
Place of
Burial
Trawden Village, Lancashire County, England
Date
March 8, 1891
Stockdale Cemetery, Stockdale, Ontario
Death Date
& Place
Feb. 25, 1969 Green
Acres Nursing Home
Bayside, Ontario
Children
and spouses
if known
Mary Emmott
Son of
John Emmott
Margaret Bolton
Mary Isabella – married Jack Armstrong; ? Vandervort, deceased Feb. 2011
Jean (deceased)
Helen (deceased)
Gladys Miriam – married Carman Luther Dafoe, deceased Dec. 2010
Albert Edward – married Grace Casement
John Lester (deceased) – married Gwendoline Downs
Margaret Verda (deceased) – married Rossaire Joly; Rudy Wolfe and Mac ?
William Everett – married Sheila Grassie, Helen ? and Mary ? Robert Bruce (deceased)
4
st
4.
1 Great Grandparents of Patsy Jean Blackburn (Dafoe)
Son of
John Lester Zufelt
Father
Place of
Birth
Percy Township
Northumberland County, Ontario
Date
William Howell
Zufelt and Emerilla
Dingman
Dec. 9, 1862
Married at
Colborne, Ontario
Date
June 25, 1881
Residence
Lot 5, Conc. 9, Murray Township
Occupation
Horse Trainer
Place of
Burial
Mother
Stockdale, Ontario Cemetery
Death Date
& Place
Daughter of
June 29, 1939
Murray Township
Christopher Baker
Marg. Nelson
Occupation
Homemaker
Alnwick Township
Date
Dec. 29, 1864
Stockdale, Ontario Cemetery
Death Date
& Place
Nov. 24, 1931
Campbellford, Ont.
Place of
Birth
Place of
Burial
Children
and spouses
if known
Isabella Baker
Albert Elgin (Elgie) married Mamie ?
Ethel Mae married Major S. Fraser
Margaret (Maggie) Estella married Robert Nelson Baker
*William Everett married Mary Emmott
nd
5.
2 Great Grandparents of Patsy Jean Blackburn (Dafoe)
William Howell Zufelt
Father
Place of
Birth
Married at
Percy Township, Northumberland County, Ontario
Son of
Daniel Zufelt and
Lydia Tripp
Date
August 7, 1832
Date
Residence
Occupation
Carpenter
Place of
Burial
Mother
Emerilla Dingman
Death Date
& Place
Daughter of
Feb. 10, 1910
Campbellford, Ont.
Abraham Dingman
Julia Ann Paterson
Occupation
Homemaker
Date
Jan. 12, 1838
Death Date
& Place
Apr. 6, 1904
Campbellford, Ont.
Place of
Birth
Place of
Burial
Children
and spouses
if known
Brighton Township, Northumberland County, Ont.
Mary Melissa married John Douglas Steele
*Lester John married Isabella Baker
William Ormason married Rebecca Gilmour
Wyley E.
5
rd
6.
3 Great Grandparents of Patsy Jean Blackburn (Dafoe)
Daniel Zufelt
Father
Place of
Birth
Married
at
Residence
Place of
Burial
Mother
Percy Township, Northumberland County, Ont.
Lydia Tripp
Date
Henry Zufelt and
Elizabeth Young
March 2. 1802
Date
cc. 1822
Occupation
Farmer
Son of
Death Date
& Place
Daughter of
Charles Tripp and
Jane Woodworth
Occupation
Place of
Birth
Place of
Burial
Children
and spouses
if known
7.
Date
1804
Death Date
& Place
February 9, 1879
Warkworth, Ont.
Mary married Jacob Masters
Adam (did not marry)
Betsy married Maxim LaPorte
*William Howell married Emerilla Dingman
Mahala
Oliver Charles Edward married Melissa Jane Kelly
Joshua
4th Great Grandparents of Patsy Jean Blackburn (Dafoe)
Son of
Father
HENRY ZUFELT
Place of
Birth
Married
at
Residence
Rhinebeck, New York
Date
Adam Zufelt
Neeltjie Freer
Sept. 18, 1759
Date
Place of
Burial
Mother
Hoosick Road, New York and
Prince Edward County, Ontario
Cherry Valley Cemetery
Prince Edward County, Ontario
ELIZABETH YOUNG
Occupation
Homemaker
Place of
Birth
Hoosick Road, Pownal, Vermont
Place of
Burial
Neeltje (Eleanor) married John VanSickler
Children
and spouses Annatje (Hannah) married Daniel Hull, William Platt
Catharina married Joseph Terwilliger
if known
Occupation
Death Date
& Place
Daughter of
Date
Farmer
Loyal Ranger
Henry Young and
Maria Lisjer
Ca. 1760
Death Date
& Place
Adam married Susannah Ryckman
Mary (Polly) married Edward Ryckman, John Palmateer
Sarah married James Ryckman
Henry Young
Georg married Susannah Lawson
*Daniel married Lydia Tripp
John married Charity Masters
Alpheus married Susan Wilkens
9
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
Proof
2. Parent
Proof
3. Grandparent
PATSY JEAN BLACKBURN (DAFOE)
Birth Registration
Gladys Miriam Dafoe (Zufelt)
Birth Registration
William Everett Zufelt
Proof
Death Certificate
4. 1st Great
Grandparent
Proof
John Lester Zufelt
5. 2nd Great
Grandparent
Proof
William Howell Zufelt
rd
Marriage Registration
Death Registration
6. 3 Great
Grandparent
Proof
Daniel Zufelt
7. 4th Great
Grandparent
Proof
Henry Zufelt
8. 5th Great
Grandparent
Proof
Land Petition
Land Petition 1807