Male Birth Registration: Year: 1920 number: 63100254
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Registered No. 63100254
PROVINCE OF NOVA SCOTIA
CERTIFICATE OF REGISTRATION OF BIRTH
1. PLACE OF BIRTH
County of Hants
City, Town or Village East Walton
2. FULL NAME OF CHILD Lake, Vernon Maxwell
3. Sex of child
Male
4. Twin, triplet or other?
5. Was the child born alive?
Yes
6. Legitimate?
Yes
7. Date of Birth
March 26, 1920
FATHER
8. Full Name Levi Royce Lake
9. Residence East Walton
10. Racial Origin English | 11. Age at last birthday 29
12. Birthplace East Walton, Hants Co.
13. Occupation: —
(a) Trade or profession Farmer
(b) Business in which employed
MOTHER
14. Full Maiden Name Elsie May White
15. Residence East Walton
16. Racial Origin English | 17. Age at last birthday 27
18. Birthplace Noel Road, Hants Co.
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 Mrs. Levi R. Lake East Walton, Hants Co.
22. Name of Doctor, nurse or other person in attendance at birth Arthur Hines M.D.
I certify the foregoing to be true and correct to the best of my knowledge and belief.
Given under my hand this 6 April 1920
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/birth/?ID=390410
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