Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Chelivert birth Halifax, Halifax County on July 7, 1920
Male Birth Registration: Year: 1920 number: 41000187
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Registered No. 41000187
PROVINCE OF NOVA SCOTIA
CERTIFICATE OF REGISTRATION OF BIRTH
1. PLACE OF BIRTH
County of Halifax
City, Town or Village Halifax
2. FULL NAME OF CHILD Chelivert,
3. Sex of child
Male
4. Twin, triplet or other?
5. Was the child born alive?
No
6. Legitimate?
Yes
7. Date of Birth
July 7, 1920
FATHER
8. Full Name Edmond Chelivert
9. Residence Montreal
10. Racial Origin French | 11. Age at last birthday 32
12. Birthplace St. Thomas Pierreville
13. Occupation: —
(a) Trade or profession Plasterer
(b) Business in which employed labour
MOTHER
14. Full Maiden Name Jenn Sampson
15. Residence Halifax
16. Racial Origin French | 17. Age at last birthday 25
18. Birthplace Rockdale
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 Jennie Chelivert
22. Name of Doctor, nurse or other person in attendance at birth Doc Miller
I certify the foregoing to be true and correct to the best of my knowledge and belief.
Given under my hand this 23 July 1920
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