Female Birth Registration: Year: 1920 number: 67000373
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Registered No. 67000373
PROVINCE OF NOVA SCOTIA
CERTIFICATE OF REGISTRATION OF BIRTH
1. PLACE OF BIRTH
County of Annapolis
City, Town or Village Lawrencetown
2. FULL NAME OF CHILD Balcom, Mary Dale
3. Sex of child
Female
4. Twin, triplet or other?
5. Was the child born alive?
6. Legitimate?
Yes
7. Date of Birth
August 1, 1920
FATHER
8. Full Name Arthur Berlin Balcom
9. Residence Lawrencetown, Annapolis Co.
10. Racial Origin English | 11. Age at last birthday
12. Birthplace Lawrencetown, Annapolis Co.
13. Occupation: —
(a) Trade or profession Carpenter
(b) Business in which employed
MOTHER
14. Full Maiden Name Ruby Francis Parker
15. Residence Lawrencetown, Annapolis Co.
16. Racial Origin | 17. Age at last birthday
18. Birthplace
19. Number of children of this mother (including this child)
Living Dead Stillborn
20. Occupation, if other than household duties
21. Name and Post Office address of Informant Arthur B. Balcolm Lawrencetown, Annapolis Co.
22. Name of Doctor, nurse or other person in attendance at birth Dr. W.S. Phinney
I certify the foregoing to be true and correct to the best of my knowledge and belief.
Given under my hand this 20 August 1925
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/birth/?ID=396369
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