Male Birth Registration: Year: 1920 number: 66300411
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Registered No. 66300411
PROVINCE OF NOVA SCOTIA
CERTIFICATE OF REGISTRATION OF BIRTH
1. PLACE OF BIRTH
County of Cape Breton
City, Town or Village Sydney Mines
2. FULL NAME OF CHILD Burchill, John Justain
3. Sex of child
Male
4. Twin, triplet or other?
5. Was the child born alive?
Yes
6. Legitimate?
Yes
7. Date of Birth
September 3, 1920
FATHER
8. Full Name Charles Burchill
9. Residence 300 Main Street, Sydney
10. Racial Origin English | 11. Age at last birthday 37
12. Birthplace Sydney Mines
13. Occupation: —
(a) Trade or profession Miner
(b) Business in which employed Coal
MOTHER
14. Full Maiden Name Mary Campbell
15. Residence Sydney Mines
16. Racial Origin Scottish | 17. Age at last birthday 35
18. Birthplace Newfoundland
19. Number of children of this mother (including this child)
Living 7 Dead Stillborn
20. Occupation, if other than household duties
21. Name and Post Office address of Informant Chas. Bordell? Sydney Mines
22. Name of Doctor, nurse or other person in attendance at birth Dr. Lee Johnston
I certify the foregoing to be true and correct to the best of my knowledge and belief.
Given under my hand this 9 January 1921
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/birth/
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