Male Birth Registration: Year: 1920 number: 63100290
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Registered No. 63100290
PROVINCE OF NOVA SCOTIA
CERTIFICATE OF REGISTRATION OF BIRTH
1. PLACE OF BIRTH
County of Hants
City, Town or Village Cheverie
2. FULL NAME OF CHILD Burgess, Reginald Carl
3. Sex of child
Male
4. Twin, triplet or other?
5. Was the child born alive?
Yes
6. Legitimate?
Yes
7. Date of Birth
April 20, 1920
FATHER
8. Full Name John G. Burgess
9. Residence Cheverie
10. Racial Origin English | 11. Age at last birthday 38
12. Birthplace Cheverie
13. Occupation: —
(a) Trade or profession farmer
(b) Business in which employed
MOTHER
14. Full Maiden Name Grace Amelia Burgess
15. Residence Cheverie
16. Racial Origin English | 17. Age at last birthday 37
18. Birthplace Cheverie
19. Number of children of this mother (including this child)
Living 9 Dead Stillborn
20. Occupation, if other than household duties
21. Name and Post Office address of Informant Mrs. John Burgess
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 May 1920
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/birth/?ID=390445
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