Female Birth Registration: Year: 1920 number: 60500286
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Registered No. 60500286
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, Katherine Theresa Lorraine
3. Sex of child
Female
4. Twin, triplet or other?
5. Was the child born alive?
Yes
6. Legitimate?
Yes
7. Date of Birth
July 24, 1920
FATHER
8. Full Name Charles Fredk. DeChamp
9. Residence Shelburne
10. Racial Origin British | 11. Age at last birthday 31
12. Birthplace Shelburne
13. Occupation: —
(a) Trade or profession Ship carpenter
(b) Business in which employed Shipwright
MOTHER
14. Full Maiden Name Mag. Pictoria Wickham
15. Residence Shelburne
16. Racial Origin British | 17. Age at last birthday 24
18. Birthplace Norwich, England
19. Number of children of this mother (including this child)
Living 3 Dead Stillborn
20. Occupation, if other than household duties
21. Name and Post Office address of Informant Charles Frederick DeChamp 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 11 August 1920
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/birth/?ID=386736
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