Female Birth Registration: Year: 1920 number: 60300411
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Registered No. 60300411
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 Blake, Myrtle Helan
3. Sex of child
Female
4. Twin, triplet or other?
5. Was the child born alive?
Yes
6. Legitimate?
Yes
7. Date of Birth
May 25, 1920
FATHER
8. Full Name Charlie Melvin Blake
9. Residence Stellarton
10. Racial Origin English | 11. Age at last birthday 32
12. Birthplace Chatam, New Brunswick
13. Occupation: —
(a) Trade or profession Operator
(b) Business in which employed
MOTHER
14. Full Maiden Name Fannie Blake
15. Residence Yarmouth N.S.
16. Racial Origin English | 17. Age at last birthday 25
18. Birthplace Yarmouth, N.S
19. Number of children of this mother (including this child)
Living 4 Dead 1 Stillborn
20. Occupation, if other than household duties
21. Name and Post Office address of Informant Mrs. Melvin Blake
22. Name of Doctor, nurse or other person in attendance at birth Dr. W. C. Harris
I certify the foregoing to be true and correct to the best of my knowledge and belief.
Given under my hand this 25 June 1920
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/birth/?ID=386145
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