Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Daniel Masurek birth Little Bras D'Or, Cape Breton County on July 10, 1920
Male Birth Registration: Year: 1920 number: 66300143
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Registered No. 66300143
PROVINCE OF NOVA SCOTIA
CERTIFICATE OF REGISTRATION OF BIRTH
1. PLACE OF BIRTH
County of Cape Breton
City, Town or Village Little Bras D'Or
2. FULL NAME OF CHILD Masurek, Daniel
3. Sex of child
Male
4. Twin, triplet or other?
5. Was the child born alive?
Yes
6. Legitimate?
Yes
7. Date of Birth
July 10, 1920
FATHER
8. Full Name Julian Masurek
9. Residence The Tank
10. Racial Origin Russian | 11. Age at last birthday 30
12. Birthplace Russia
13. Occupation: —
(a) Trade or profession Miner
(b) Business in which employed Mining
MOTHER
14. Full Maiden Name Amollia Lazarz
15. Residence The Tank
16. Racial Origin Polish | 17. Age at last birthday 27
18. Birthplace Poland
19. Number of children of this mother (including this child)
Living 4 Dead 2 Stillborn
20. Occupation, if other than household duties
21. Name and Post Office address of Informant Mrs. Julian Masurek Box 210, Sydney Mines, N. S.
22. Name of Doctor, nurse or other person in attendance at birth Dr. Archibald
I certify the foregoing to be true and correct to the best of my knowledge and belief.
Given under my hand this 30 July 1920
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