Female Birth Registration: Year: 1920 number: 39000161
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Registered No. 39000161
PROVINCE OF NOVA SCOTIA
CERTIFICATE OF REGISTRATION OF BIRTH
1. PLACE OF BIRTH
County of Queens
City, Town or Village Beech Hill Farms
2. FULL NAME OF CHILD Innes, Hazel Vivian
3. Sex of child
Female
4. Twin, triplet or other?
5. Was the child born alive?
Yes
6. Legitimate?
Yes
7. Date of Birth
July 26, 1920
FATHER
8. Full Name Harry Stephen Innes
9. Residence Beech Hill Farms Queens Co.
10. Racial Origin English | 11. Age at last birthday 22
12. Birthplace Beech Hill Farms, Queens Co
13. Occupation: —
(a) Trade or profession Fisherman
(b) Business in which employed
MOTHER
14. Full Maiden Name Cecilia Gertrude Clancy
15. Residence Beech Hill Farms Queens Co. Ns
16. Racial Origin English | 17. Age at last birthday 20
18. Birthplace Revere, Mass, U.S.A.
19. Number of children of this mother (including this child)
Living 1 Dead Stillborn
20. Occupation, if other than household duties
21. Name and Post Office address of Informant Henry Stephen Innes Beech Hill Farms Queens Co. NS
22. Name of Doctor, nurse or other person in attendance at birth Dr. C. S. Hennigar
I certify the foregoing to be true and correct to the best of my knowledge and belief.
Given under my hand this 6 August 1920
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/birth/?ID=383932
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