Female Birth Registration: Year: 1920 number: 60300254
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Registered No. 60300254
PROVINCE OF NOVA SCOTIA
CERTIFICATE OF REGISTRATION OF BIRTH
1. PLACE OF BIRTH
County of Yarmouth
City, Town or Village Port Maitland
2. FULL NAME OF CHILD Churchill, Bertha May
3. Sex of child
Female
4. Twin, triplet or other?
5. Was the child born alive?
Yes
6. Legitimate?
Yes
7. Date of Birth
February 25, 1920
FATHER
8. Full Name Albert Clayton Churchill
9. Residence Port Maitland
10. Racial Origin White | 11. Age at last birthday 41
12. Birthplace Port Maitland
13. Occupation: —
(a) Trade or profession Fisherman
(b) Business in which employed
MOTHER
14. Full Maiden Name Surettia Emily Sollows
15. Residence Port Maitland
16. Racial Origin White | 17. Age at last birthday 39
18. Birthplace Port Maitland
19. Number of children of this mother (including this child)
Living 6 Dead Stillborn
20. Occupation, if other than household duties
21. Name and Post Office address of Informant Clayton Churchill Port Maitland
22. Name of Doctor, nurse or other person in attendance at birth Dr. R. L. Blackadar
I certify the foregoing to be true and correct to the best of my knowledge and belief.
Given under my hand this 1 March 1920
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/birth/?ID=385988
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