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Form A (1).

NORTH-WEST HALPBREED CLAIMS COMMISSION1

7)\oi 1 901.

D JAMES ANDREW JOSEPH McKENNA, of the City of Ottawa, in

the Province of Ontario, Esquire, duly appointed and sitting as sole Commis-

sione a ------------------in to investigate claims of

the-------- ,

Halfbreeds in the territory included in the Province of Manitoba, as now

constituted, which was not included in the said Province as constituted by the
Manitoba Act, 33 Victoria, Cap. 3, born up to 31st December 1885, and
claims remaining to be dealt with in the North-West Territories, of Half breeds
born up to 31st December 1885, personally caine and appeared
Claimant,
who being duly sworn, deposes as follows :-

Question 1. What is your name

L
Answer.

Question 2. Where do you reside ?

Answer------------;!_-_1Cd1...--_-----

Question 3. How long have you lived there and where have you lived previously?

AnswerLTOit----).............................................................................................................

Question 4. Where wer3 you born?

Answer

Question 5. Wh were you born?

Answer

Question 6. What is your father's name

Answer --------------

Question 7. What was the name of your mother before her marriage?

Answer ----------------------------
Question 8. Is your father a Whiteman, a Halfbreed or an Indian?

Answer -------------------------------------------

Question 9. Is your mother a Whitewoman, a Halfbreed or an Indian ?

 Question 10. Have you ever received land or scrip in Manitoba or the North-West
Territories in extinguishment of your Halfbreed rights ?

Answer ----------------------

Question 11. Did you ever apply for land or Son!) before to.day ? 1f so, when and
where ?

Answer--------------------tkl)

Question 12. Are you now or have you ever been a member of any Indian Band, or in
receipt of Indian Treaty money, or did you ever receive commutation of sanie?

Answer--------1VP....................................................................................

Question 13. ,Did your father or mother receive scrip ? If so, when and where ?

AnswerT.................................................................................................................

Question 14. Are you married? If so, when and where and to whom?

Answer hIT.L.
- ----------------------------------------------------- -------------------------------- ----- ------
___________________________________

And fwther deponent sayeth not.

5worn before me
------------------------------------------on the

of------- 100 L