Male Birth Registration: Year: 1919 number: 63100091
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Registered No. 63100091
PROVINCE OF NOVA SCOTIA
CERTIFICATE OF REGISTRATION OF BIRTH
1. PLACE OF BIRTH
County of Hants
City, Town or Village Mapleton, Three Mile Plains
2. FULL NAME OF CHILD Upshaw,
3. Sex of child
Male
4. Twin, triplet or other?
5. Was the child born alive?
No
6. Legitimate?
Yes
7. Date of Birth
December 4, 1919
FATHER
8. Full Name John Frederick Upshaw
9. Residence Mapleton
10. Racial Origin Coloured | 11. Age at last birthday 21
12. Birthplace Mapleton
13. Occupation: —
(a) Trade or profession Labourer
(b) Business in which employed
MOTHER
14. Full Maiden Name Hilda Hazel Gray
15. Residence Mapleton
16. Racial Origin Coloured | 17. Age at last birthday 21
18. Birthplace Mapleton
19. Number of children of this mother (including this child)
Living Dead Stillborn 1
20. Occupation, if other than household duties
21. Name and Post Office address of Informant Mrs. John F. Upshaw
22. Name of Doctor, nurse or other person in attendance at birth J.W. Reid
I certify the foregoing to be true and correct to the best of my knowledge and belief.
Given under my hand this 7 December 1919
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Note: African Nova Scotian
Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/birth/?ID=400914
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