Male Birth Registration: Year: 1919 number: 38800010
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Registered No. 38800010
PROVINCE OF NOVA SCOTIA
CERTIFICATE OF REGISTRATION OF BIRTH
1. PLACE OF BIRTH
County of Victoria
City, Town or Village New Haven
2. FULL NAME OF CHILD Buffett, James
3. Sex of child
Male
4. Twin, triplet or other?
5. Was the child born alive?
Yes
6. Legitimate?
Yes
7. Date of Birth
October 27, 1919
FATHER
8. Full Name Alex Kossack
9. Residence Whitney Pier
10. Racial Origin Polish | 11. Age at last birthday
12. Birthplace
13. Occupation: —
(a) Trade or profession Shoemaker
(b) Business in which employed
MOTHER
14. Full Maiden Name Agnes Buffett
15. Residence New Haven
16. Racial Origin English | 17. Age at last birthday 16
18. Birthplace Hermitage Bay, Newfoundland
19. Number of children of this mother (including this child)
Living 1 Dead Stillborn
20. Occupation, if other than household duties
21. Name and Post Office address of Informant Agnes Buffett New Haven
22. Name of Doctor, nurse or other person in attendance at birth Mrs. Elizabeth Turner
I certify the foregoing to be true and correct to the best of my knowledge and belief.
Given under my hand this 5 April 1920
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/birth/?ID=399135
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