Female Birth Registration: Year: 1920 number: 67500434
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Registered No. 67500434
PROVINCE OF NOVA SCOTIA
CERTIFICATE OF REGISTRATION OF BIRTH
1. PLACE OF BIRTH
County of Halifax
City, Town or Village Grand Lake
2. FULL NAME OF CHILD Shackleton, Amy Jeanette
3. Sex of child
Female
4. Twin, triplet or other?
5. Was the child born alive?
Yes
6. Legitimate?
Yes
7. Date of Birth
March 1, 1920
FATHER
8. Full Name Samuel George Shackleton
9. Residence Grand Lake
10. Racial Origin English | 11. Age at last birthday 27
12. Birthplace Bedfordshire, England
13. Occupation: —
(a) Trade or profession Farmer
(b) Business in which employed Track-man
MOTHER
14. Full Maiden Name Hilda Pearl Osborne
15. Residence Grand Lake
16. Racial Origin English | 17. Age at last birthday 26
18. Birthplace Grand Lake, Halifax Co.
19. Number of children of this mother (including this child)
Living 3 Dead Stillborn
20. Occupation, if other than household duties
21. Name and Post Office address of Informant Jeanette Glen Morash
22. Name of Doctor, nurse or other person in attendance at birth Jeanette Glen Morash
I certify the foregoing to be true and correct to the best of my knowledge and belief.
Given under my hand this 30 March 1920
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/birth/?ID=396717
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