Male Birth Registration: Year: 1920 number: 64500982
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Registered No. 64500982
PROVINCE OF NOVA SCOTIA
CERTIFICATE OF REGISTRATION OF BIRTH
1. PLACE OF BIRTH
County of Cumberland
City, Town or Village Amherst
2. FULL NAME OF CHILD Goetze, Raymond Charles
3. Sex of child
Male
4. Twin, triplet or other?
5. Was the child born alive?
Yes
6. Legitimate?
No
7. Date of Birth
August 28, 1920
FATHER
8. Full Name Joseph Charles Goetze
9. Residence
10. Racial Origin English | 11. Age at last birthday 42
12. Birthplace California
13. Occupation: —
(a) Trade or profession Musician
(b) Business in which employed Travels with Circus
MOTHER
14. Full Maiden Name Lavania Edna Brown
15. Residence 34 South Albion Street
16. Racial Origin English | 17. Age at last birthday 19
18. Birthplace Amherst
19. Number of children of this mother (including this child)
Living 1 Dead 1 Stillborn
20. Occupation, if other than household duties
21. Name and Post Office address of Informant
22. Name of Doctor, nurse or other person in attendance at birth Doctor MacKintosh
I certify the foregoing to be true and correct to the best of my knowledge and belief.
Given under my hand this 15 October 1920
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/birth/?ID=392495
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