Female Birth Registration: Year: 1920 number: 60500120
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Registered No. 60500120
PROVINCE OF NOVA SCOTIA
CERTIFICATE OF REGISTRATION OF BIRTH
1. PLACE OF BIRTH
County of Shelburne
City, Town or Village Clarks Harbour
2. FULL NAME OF CHILD Nickerson, Charlotte Rosabel
3. Sex of child
Female
4. Twin, triplet or other?
5. Was the child born alive?
Yes
6. Legitimate?
Yes
7. Date of Birth
January 19, 1920
FATHER
8. Full Name Walter C. Nickerson
9. Residence Clarks Harbor
10. Racial Origin English | 11. Age at last birthday 44
12. Birthplace Clarks Harbor
13. Occupation: —
(a) Trade or profession Fisherman
(b) Business in which employed
MOTHER
14. Full Maiden Name Matilda Phillips
15. Residence Clarks Harbor
16. Racial Origin English | 17. Age at last birthday 34
18. Birthplace Clarks Harbor
19. Number of children of this mother (including this child)
Living 7 Dead 1 Stillborn
20. Occupation, if other than household duties
21. Name and Post Office address of Informant Mrs. Walter C. Nickerson Clarks Harbor, Cape Sable Island, Shel. Co.
22. Name of Doctor, nurse or other person in attendance at birth Dr. Geo. W. Brown
I certify the foregoing to be true and correct to the best of my knowledge and belief.
Given under my hand this 13 February 1920
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/birth/?ID=386571
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