Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Myrtle May Dolliver birth Port Medway, Queens County on February 6, 1920
Female Birth Registration: Year: 1920 number: 39000085
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Registered No. 39000085
PROVINCE OF NOVA SCOTIA
CERTIFICATE OF REGISTRATION OF BIRTH
1. PLACE OF BIRTH
County of Queens
City, Town or Village Port Medway
2. FULL NAME OF CHILD Dolliver, Myrtle May
3. Sex of child
Female
4. Twin, triplet or other?
5. Was the child born alive?
Yes
6. Legitimate?
7. Date of Birth
February 6, 1920
FATHER
8. Full Name Farish Charles Dolliver
9. Residence Port Medway
10. Racial Origin Dutch | 11. Age at last birthday 24
12. Birthplace Port Medway
13. Occupation: —
(a) Trade or profession Fisherman
(b) Business in which employed
MOTHER
14. Full Maiden Name Caroline Richard
15. Residence Port Medway
16. Racial Origin French | 17. Age at last birthday 24
18. Birthplace Evanston
19. Number of children of this mother (including this child)
Living Dead Stillborn
20. Occupation, if other than household duties
21. Name and Post Office address of Informant Mrs. Farish Dolliver Port Medway, Queens Co. N.S.
22. Name of Doctor, nurse or other person in attendance at birth Mrs. T. Selig
I certify the foregoing to be true and correct to the best of my knowledge and belief.
Given under my hand this 26 February 1920
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