Male Birth Registration: Year: 1919 number: 60300139
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Registered No. 60300139
PROVINCE OF NOVA SCOTIA
CERTIFICATE OF REGISTRATION OF BIRTH
1. PLACE OF BIRTH
County of Yarmouth
City, Town or Village Yarmouth
2. FULL NAME OF CHILD Muise, Douglas Bernard
3. Sex of child
Male
4. Twin, triplet or other?
5. Was the child born alive?
Yes
6. Legitimate?
No
7. Date of Birth
December 16, 1919
FATHER
8. Full Name Roy Simms
9. Residence Yarmouth
10. Racial Origin English | 11. Age at last birthday 24
12. Birthplace Digby
13. Occupation: —
(a) Trade or profession
(b) Business in which employed Fisherman
MOTHER
14. Full Maiden Name Annie Lottie Muise
15. Residence Yarmouth
16. Racial Origin French | 17. Age at last birthday 19
18. Birthplace Yarmouth
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 Yarmouth
22. Name of Doctor, nurse or other person in attendance at birth Dr. Williamson
I certify the foregoing to be true and correct to the best of my knowledge and belief.
Given under my hand this 24 December 1919
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/birth/?ID=399870
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