Female Birth Registration: Year: 1920 number: 67500628
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Registered No. 67500628
PROVINCE OF NOVA SCOTIA
CERTIFICATE OF REGISTRATION OF BIRTH
1. PLACE OF BIRTH
County of Halifax
City, Town or Village Indian Harbour
2. FULL NAME OF CHILD Boutilier, Lois Gertrude
3. Sex of child
Female
4. Twin, triplet or other?
5. Was the child born alive?
Yes
6. Legitimate?
Yes
7. Date of Birth
June 26, 1920
FATHER
8. Full Name Selden Frederick Boutilier
9. Residence Indian Harbour
10. Racial Origin French | 11. Age at last birthday 43
12. Birthplace Indian Harbour
13. Occupation: —
(a) Trade or profession Fisherman
(b) Business in which employed
MOTHER
14. Full Maiden Name Hazel May Covey
15. Residence Indian Harbour
16. Racial Origin English | 17. Age at last birthday 23
18. Birthplace Indian Harbour
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 Mrs. H.A. Blakely Indian Harbour, Halifax Co
22. Name of Doctor, nurse or other person in attendance at birth Mrs. H.A. Blakely
I certify the foregoing to be true and correct to the best of my knowledge and belief.
Given under my hand this 26 June 1920
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/birth/?ID=396910
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