CERTIFICATE APPLICATION

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1 The United Empire Loyalists Association of Canada 50 Baldwin Street, Suite 202, Toronto, Ontario, M5T 1L4 Telephone (416) Fax (416) CERTIFICATE APPLICATION BRANCH: _Governor Simcoe Branch BRANCH ADDRESS: Applicant Title Name in full. Hugh William Potter Maiden Name Phone Address private Postal Code address Married at Husband/Wife Full Name (Names in Full and s) Son or Dau of Loyalist Ancestor Information Loyalist Ancestor Abraham Upham Military Service (Rank & Regt. If known) Where Settled (date & Location) King s Carolina Rangers ( ) Country Harbour, Guysborough, Nova Scotia

2 Applicant Line of Descent From a Loyalist Ancestor Loyalist Ancestor Abraham Upham 2 Military Service (rank & regt ) Where Settled (date & Location) st Great 2 nd Great 3 rd Great 4 th Great 5 th Great 6 th Great 7 h Great 8 th Great 9 th Great 10 h Great King s Carolina Rangers ( ) Country Harbour, Guysborough, Nova Scotia Hector Harris Potter Lynda Lorna Renouf William David Potter Hannah Upham William Upham Jane Hallett William C. Upham Sarah Ann Foy Abraham Upham Mary Born (year) Died (year) (year) Married

3 2. Hector Harris Potter Son of William Potter & Hannah Upham Port Bickerton. Guysborough Co. Nova Scotia Oct 18, 1904 Married All Saints Church, Sydenham, London, England Jan 25,1947 at Residence 3 Death 1978 Lynda Lorna Renouf Daughter of Charles E. Renouf Linda I. Renouf Housewife London, England 1918 Death 2003 Hugh William Potter parents 3. William David Potter Son of Thomas Potter & Jane McGinity Calais. Maine, United States May 09,1858 Married Holland Harbour Guys Co. Nova Scotia Sept. 10, 1883 at Residence Fisherman Auburn Cemetery, Westville. Nova Scotia Death Apr 16, 1954 Hannah Upham Daughter of William Upham & Jane Hallett Housewife Fisherman s Harbour Guys Co. Nova Scotia May,22,1865 Fisherman s Harbour Cemetery, Guys Co. Nova Death July. 24,1911 Scotia Hector Harris Potter/spouses/ Lynda Lorna Renouf

4 4 1 st Great parents 4. William Upham Son of William C. Upham Sanah Ann Foy Country Harbour. Guys Co. Nova Scotia May 05, 1835 Married at Isaac s Harbour. Guys Co. Nova Scotia Apr 18, 1861 Residence Fisherman Fisherman s Harbour Cemetery, Guys Co. Nova Death Apr 2, 1920 Scotia Jane Hallett Daughter of William Hallett Ellen Clyburn Housewife Country Harbour. Guys Co. Nova Scotia Oct 17, 1836 Fisherman s Harbour Cemetery, Guys Co. Nova Scotia Hannah Upham/spouses/William David Potter Death Dec 1, nd Great parents 5. William C. Upham Son of Country Harbour. Guys Co. Nova Scotia 1786 Married at Country Harbour. Guys Co. Nova Scotia Jan.24,1813 Residence Death Sarah Ann Foy Daughter of Housewife William Upham/spouses/Jane Hallett Death

5 5 3 rd Great parents 6. Abraham Upham Son of Married at Residence Death Mary Daughter of Death 1818

6 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 Hugh William Potter 2. Parent Hector Harris Potter 3. parent Hannah Upham Obituaries of Hector H. Potter 1978 in the Globe and Mail 1911 Census Guysborough, Nova Scotia s Registered ;Guysborough,Nova Scotia st Great William Upham parent Death record; Certificate of Death nd Great parent 6. 3 rd Great parent 7. 4 th Great parent 8. 5 th Great parent William C. Upham Deed/Sale of land 1821 Guysborough, Nova Scotia Abraham Upham Loyalists land Grant Country Harbour 1784 and Ward Chipman, Muster Master s Office ( )Archives Canada

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