Male Birth Registration: Year: 1920 number: 63100163
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Registered No. 63100163
PROVINCE OF NOVA SCOTIA
CERTIFICATE OF REGISTRATION OF BIRTH
1. PLACE OF BIRTH
County of Hants
City, Town or Village Centre Burlington
2. FULL NAME OF CHILD Blackburn, Frederick Archibald
3. Sex of child
Male
4. Twin, triplet or other?
5. Was the child born alive?
Yes
6. Legitimate?
Yes
7. Date of Birth
January 9, 1920
FATHER
8. Full Name Frederick Richard Blackburn
9. Residence Centre Burlington
10. Racial Origin English | 11. Age at last birthday 50
12. Birthplace Centre Burlington
13. Occupation: —
(a) Trade or profession Farmer
(b) Business in which employed Farming
MOTHER
14. Full Maiden Name Lillie Jane Singer
15. Residence Centre Burlington, Hants Co.
16. Racial Origin English | 17. Age at last birthday 43
18. Birthplace Windsor, Hants Co.
19. Number of children of this mother (including this child)
Living 4 Dead Stillborn
20. Occupation, if other than household duties
21. Name and Post Office address of Informant Frederick R. Blackburn Centre Burlington, Hants Co.
22. Name of Doctor, nurse or other person in attendance at birth Dr. A. Hines
I certify the foregoing to be true and correct to the best of my knowledge and belief.
Given under my hand this 2 February 1920
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/birth/?ID=390320
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