Male Birth Registration: Year: 1919 number: 60500033
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Registered No. 60500033
PROVINCE OF NOVA SCOTIA
CERTIFICATE OF REGISTRATION OF BIRTH
1. PLACE OF BIRTH
County of Shelburne
City, Town or Village Port Clyde
2. FULL NAME OF CHILD Nickerson, Everett Burnley
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 1, 1919
FATHER
8. Full Name Everett Burton Nickerson
9. Residence Port Clyde
10. Racial Origin English | 11. Age at last birthday 38
12. Birthplace Port Clyde
13. Occupation: —
(a) Trade or profession Master Mariner
(b) Business in which employed Fish Buyer
MOTHER
14. Full Maiden Name Adelaide Meg Kenney
15. Residence Doctors Cove
16. Racial Origin English | 17. Age at last birthday 36
18. Birthplace Doctors Cove
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 Everett B. Nickerson Port Clyde
22. Name of Doctor, nurse or other person in attendance at birth Dr. H.D. Wilson
I certify the foregoing to be true and correct to the best of my knowledge and belief.
Given under my hand this 3 October 1919
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/birth/?ID=399940
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