Male Birth Registration: Year: 1919 number: 67000055
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Registered No. 67000055
PROVINCE OF NOVA SCOTIA
CERTIFICATE OF REGISTRATION OF BIRTH
1. PLACE OF BIRTH
County of Annapolis
City, Town or Village Annapolis Royal
2. FULL NAME OF CHILD Simms,
3. Sex of child
Male
4. Twin, triplet or other?
5. Was the child born alive?
No
6. Legitimate?
No
7. Date of Birth
December 27, 1919
FATHER
8. Full Name
9. Residence
10. Racial Origin | 11. Age at last birthday
12. Birthplace
13. Occupation: —
(a) Trade or profession
(b) Business in which employed
MOTHER
14. Full Maiden Name Nellie Robinson Simms
15. Residence Annapolis Royal
16. Racial Origin Coloured | 17. Age at last birthday 22
18. Birthplace Bridgetown
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. A. Robinson Annapolis Royal
22. Name of Doctor, nurse or other person in attendance at birth Dr. L. Braine
I certify the foregoing to be true and correct to the best of my knowledge and belief.
Given under my hand this 1 January 1920
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Note: African Nova Scotian
Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/birth/?ID=402312
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