Male Birth Registration: Year: 1920 number: 63100409
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Registered No. 63100409
PROVINCE OF NOVA SCOTIA
CERTIFICATE OF REGISTRATION OF BIRTH
1. PLACE OF BIRTH
County of Hants
City, Town or Village Windsor
2. FULL NAME OF CHILD States, (Illegitmate)
3. Sex of child
Male
4. Twin, triplet or other?
5. Was the child born alive?
Yes
6. Legitimate?
No
7. Date of Birth
July 2, 1920
FATHER
8. Full Name
9. Residence
10. Racial Origin | 11. Age at last birthday
12. Birthplace
13. Occupation: —
(a) Trade or profession
(b) Business in which employed
MOTHER
14. Full Maiden Name Sarah States
15. Residence Three Mile Plains
16. Racial Origin African | 17. Age at last birthday 19
18. Birthplace Three Mile Plains
19. Number of children of this mother (including this child)
Living 1 Dead Stillborn
20. Occupation, if other than household duties
21. Name and Post Office address of Informant Sarah States Three Mile Plains, Hants
22. Name of Doctor, nurse or other person in attendance at birth O B Keddy MD
I certify the foregoing to be true and correct to the best of my knowledge and belief.
Given under my hand this 2 August 1920
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Note: African Nova Scotian
Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/birth/
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