Nova Scotia Archives

Nova Scotia Births, Marriages, and Deaths

Inez Minnie Burgess birth Kempt Shore, Hants County on July 3, 1920

Female Birth Registration: Year: 1920 number: 63100427

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Registered No.  63100427

PROVINCE OF NOVA SCOTIA

CERTIFICATE OF REGISTRATION OF BIRTH

1. PLACE OF BIRTH

County of Hants

City, Town or Village Kempt Shore

2. FULL NAME OF CHILD Burgess, Inez Minnie

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 3, 1920

FATHER

8. Full Name Robert Andrew Burgess

9. Residence Kempt Shore, Hants Co.

10. Racial Origin English | 11. Age at last birthday 32

12. Birthplace Kempt Shore, Hants Co.

13. Occupation: —

(a) Trade or profession Carpenter

(b) Business in which employed Carpenter

MOTHER

14. Full Maiden Name Lillian Laveria Rolfe

15. Residence Kempt Shore, Hants Co.

16. Racial Origin English | 17. Age at last birthday 23

18. Birthplace Kempt Shore, 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. Robert Burgess Kempt Shore

22. Name of Doctor, nurse or other person in attendance at birth Arthur Heiner, M.D.

I certify the foregoing to be true and correct to the best of my knowledge and belief.

Given under my hand this 31 July 1920

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