Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Leo Burton Wagner birth West Berlin, Queens County on July 19, 1920
Male Birth Registration: Year: 1920 number: 39000184
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Registered No. 39000184
PROVINCE OF NOVA SCOTIA
CERTIFICATE OF REGISTRATION OF BIRTH
1. PLACE OF BIRTH
County of Queens
City, Town or Village West Berlin
2. FULL NAME OF CHILD Wagner, Leo Burton
3. Sex of child
Male
4. Twin, triplet or other?
5. Was the child born alive?
Yes
6. Legitimate?
Yes
7. Date of Birth
July 19, 1920
FATHER
8. Full Name Carmon Marshall Wagner
9. Residence West Berlin
10. Racial Origin English | 11. Age at last birthday 33
12. Birthplace West Berlin
13. Occupation: —
(a) Trade or profession Fisherman
(b) Business in which employed
MOTHER
14. Full Maiden Name Irene Victoria Boutlier
15. Residence West Berlin
16. Racial Origin English | 17. Age at last birthday 22
18. Birthplace Hacketts Cove
19. Number of children of this mother (including this child)
Living 2 Dead 2 Stillborn
20. Occupation, if other than household duties
21. Name and Post Office address of Informant Mrs. Carmon M. Wagner West Berlin
22. Name of Doctor, nurse or other person in attendance at birth F. P. Smith, MD
I certify the foregoing to be true and correct to the best of my knowledge and belief.
Given under my hand this 2 August 1920
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