Male Birth Registration: Year: 1919 number: 62300027
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Registered No. 62300027
PROVINCE OF NOVA SCOTIA
CERTIFICATE OF REGISTRATION OF BIRTH
1. PLACE OF BIRTH
County of Kings
City, Town or Village Berwick
2. FULL NAME OF CHILD Baltzer, Lawrence Forman
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 2, 1919
FATHER
8. Full Name Forman John Baltzer
9. Residence Berwick, Kings Co., NS
10. Racial Origin English | 11. Age at last birthday 25
12. Birthplace Delhaven, Kings Co., NS
13. Occupation: —
(a) Trade or profession Mechanic
(b) Business in which employed Automobile Repair
MOTHER
14. Full Maiden Name Sadie Olive Hart
15. Residence Middleton, Annapolis Co., NS
16. Racial Origin English | 17. Age at last birthday 21
18. Birthplace Brooklyn, Annapolis Co., NS
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 Forman J. Baltzer E. J. McNally M.D.
22. Name of Doctor, nurse or other person in attendance at birth 15 October 1919
I certify the foregoing to be true and correct to the best of my knowledge and belief.
Given under my hand this 15 October 1919
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/birth/?ID=400566
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