Female Birth Registration: Year: 1920 number: 63300463
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Registered No. 63300463
PROVINCE OF NOVA SCOTIA
CERTIFICATE OF REGISTRATION OF BIRTH
1. PLACE OF BIRTH
County of Guysborough
City, Town or Village Guysboro
2. FULL NAME OF CHILD Clyburne, Lottie E.
3. Sex of child
Female
4. Twin, triplet or other?
5. Was the child born alive?
Yes
6. Legitimate?
Yes
7. Date of Birth
November 20, 1920
FATHER
8. Full Name Freeman Clyburne
9. Residence Isaacs Harbour
10. Racial Origin English | 11. Age at last birthday 22
12. Birthplace Isaacs Harbour
13. Occupation: —
(a) Trade or profession Labourer
(b) Business in which employed
MOTHER
14. Full Maiden Name Myrtle Clyburne
15. Residence Isaacs Harbour
16. Racial Origin English | 17. Age at last birthday 19
18. Birthplace Isaacs Harbour
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 Mrs. Freeman Clyborn Isaacs Harbour
22. Name of Doctor, nurse or other person in attendance at birth J. J. MacRitchie, M.D.
I certify the foregoing to be true and correct to the best of my knowledge and belief.
Given under my hand this 7 December 1920
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/birth/?ID=391176
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