Male Birth Registration: Year: 1920 number: 39000274
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Registered No. 39000274
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 Rice, Robert Lewis
3. Sex of child
Male
4. Twin, triplet or other?
5. Was the child born alive?
Yes
6. Legitimate?
Yes
7. Date of Birth
December 15, 1920
FATHER
8. Full Name Frederick Llewellyn Rice
9. Residence Port Mouton
10. Racial Origin English | 11. Age at last birthday 33
12. Birthplace Twillingate, Newfoundland
13. Occupation: —
(a) Trade or profession Methodist Minister
(b) Business in which employed
MOTHER
14. Full Maiden Name Karen Brenda Rice
15. Residence Port Mouton
16. Racial Origin Norwegian | 17. Age at last birthday 30
18. Birthplace Kongsberg, Norway
19. Number of children of this mother (including this child)
Living 2 Dead Stillborn
20. Occupation, if other than household duties
21. Name and Post Office address of Informant (Rev.) F. L. Rice Port Mouton, Queens Co
22. Name of Doctor, nurse or other person in attendance at birth Dr. Hennigar and Miss N. Freeman (nurse)
I certify the foregoing to be true and correct to the best of my knowledge and belief.
Given under my hand this 30 december 1920
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