Male Birth Registration: Year: 1920 number: 60300217
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Registered No. 60300217
PROVINCE OF NOVA SCOTIA
CERTIFICATE OF REGISTRATION OF BIRTH
1. PLACE OF BIRTH
County of Yarmouth
City, Town or Village Surettes Island
2. FULL NAME OF CHILD Surette, Romain Elize
3. Sex of child
Male
4. Twin, triplet or other?
5. Was the child born alive?
Yes
6. Legitimate?
Yes
7. Date of Birth
January 14, 1920
FATHER
8. Full Name Leander Surette
9. Residence Surettes Island
10. Racial Origin French | 11. Age at last birthday 49
12. Birthplace Surette Island
13. Occupation: —
(a) Trade or profession Fisherman
(b) Business in which employed
MOTHER
14. Full Maiden Name Emily Surette
15. Residence Surette Island
16. Racial Origin French | 17. Age at last birthday 45
18. Birthplace Surette Island
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 Cecilia Surette Surettes Island
22. Name of Doctor, nurse or other person in attendance at birth R. O. Bethune M.D.
I certify the foregoing to be true and correct to the best of my knowledge and belief.
Given under my hand this 26 January 1920
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/birth/?ID=385951
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