Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Stephens birth Yarmouth, Yarmouth County on March 14, 1920
Birth Registration: Year: 1920 number: 60300288
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Registered No. 60300288
PROVINCE OF NOVA SCOTIA
CERTIFICATE OF REGISTRATION OF BIRTH
1. PLACE OF BIRTH
County of Yarmouth
City, Town or Village Yarmouth
2. FULL NAME OF CHILD Stephens,
3. Sex of child
4. Twin, triplet or other?
5. Was the child born alive?
6. Legitimate?
No
7. Date of Birth
March 14, 1920
FATHER
8. Full Name
9. Residence
10. Racial Origin | 11. Age at last birthday
12. Birthplace
13. Occupation: —
(a) Trade or profession
(b) Business in which employed
MOTHER
14. Full Maiden Name Lottie Stephens
15. Residence Yarmouth
16. Racial Origin Colored | 17. Age at last birthday 30
18. Birthplace Pleasant Lake, Yar. Co.
19. Number of children of this mother (including this child)
Living 1 Dead 1 Stillborn 1
20. Occupation, if other than household duties
21. Name and Post Office address of Informant Lottie Stevens Yarmouth
22. Name of Doctor, nurse or other person in attendance at birth
I certify the foregoing to be true and correct to the best of my knowledge and belief.
Given under my hand this 15 March 1920
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Note: African Nova Scotian - Mother seems to have signed as Stevens but form listed as Stephens in mothers information