Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Marie Agustia Broughm birth Port Mouton, Queens County on April 15, 1920
Female Birth Registration: Year: 1920 number: 39000119
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Registered No. 39000119
PROVINCE OF NOVA SCOTIA
CERTIFICATE OF REGISTRATION OF BIRTH
1. PLACE OF BIRTH
County of Queens
City, Town or Village Port Mouton
2. FULL NAME OF CHILD Broughm, Marie Agustia
3. Sex of child
Female
4. Twin, triplet or other?
5. Was the child born alive?
Yes
6. Legitimate?
Yes
7. Date of Birth
April 15, 1920
FATHER
8. Full Name Thomas Broughm
9. Residence Port Mouton
10. Racial Origin White | 11. Age at last birthday 47
12. Birthplace Chelsea, Canada
13. Occupation: —
(a) Trade or profession Lumberman
(b) Business in which employed Lumbering
MOTHER
14. Full Maiden Name Edith Sarah Broughm
15. Residence Port Mouton, Canada
16. Racial Origin White | 17. Age at last birthday 33
18. Birthplace Dover, Kent, England.
19. Number of children of this mother (including this child)
Living 3 Dead Stillborn
20. Occupation, if other than household duties
21. Name and Post Office address of Informant Mrs. Thomas Broughm Port Mouton, Queens Co.
22. Name of Doctor, nurse or other person in attendance at birth Eliza A. Cook
I certify the foregoing to be true and correct to the best of my knowledge and belief.
Given under my hand this 22 April 1920
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