Female Birth Registration: Year: 1920 number: 60500150
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Registered No. 60500150
PROVINCE OF NOVA SCOTIA
CERTIFICATE OF REGISTRATION OF BIRTH
1. PLACE OF BIRTH
County of Shelburne
City, Town or Village Shelburne
2. FULL NAME OF CHILD DeChamp, Amy Viola
3. Sex of child
Female
4. Twin, triplet or other?
5. Was the child born alive?
Yes
6. Legitimate?
Yes
7. Date of Birth
March 14, 1920
FATHER
8. Full Name Clifford William DecChamp
9. Residence Shelburne
10. Racial Origin English | 11. Age at last birthday 27
12. Birthplace Shelburne
13. Occupation: —
(a) Trade or profession Ship Carpenter
(b) Business in which employed Ship Building
MOTHER
14. Full Maiden Name Mabel Glenora Acker
15. Residence Birchtown, Shelb. Co.
16. Racial Origin English | 17. Age at last birthday 25
18. Birthplace Birchtown
19. Number of children of this mother (including this child)
Living 2 Dead Stillborn
20. Occupation, if other than household duties
21. Name and Post Office address of Informant Sarah M. Acker Shelburne
22. Name of Doctor, nurse or other person in attendance at birth Dr L. P. Churchill
I certify the foregoing to be true and correct to the best of my knowledge and belief.
Given under my hand this 5 April 1920
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/birth/?ID=386601
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