Female Birth Registration: Year: 1919 number: 67000081
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Registered No. 67000081
PROVINCE OF NOVA SCOTIA
CERTIFICATE OF REGISTRATION OF BIRTH
1. PLACE OF BIRTH
County of Annapolis
City, Town or Village Nictaux
2. FULL NAME OF CHILD Coleman, Hazel Virginia
3. Sex of child
Female
4. Twin, triplet or other?
5. Was the child born alive?
Yes
6. Legitimate?
Yes
7. Date of Birth
December 3, 1919
FATHER
8. Full Name Sherman Byron Coleman
9. Residence Nictaux
10. Racial Origin English | 11. Age at last birthday 49
12. Birthplace Nictaux
13. Occupation: —
(a) Trade or profession Farming
(b) Business in which employed Packer in warehouse
MOTHER
14. Full Maiden Name Mable Bessie Sullivan
15. Residence Nictaux
16. Racial Origin English Scottish and Irish | 17. Age at last birthday 36
18. Birthplace Grafton
19. Number of children of this mother (including this child)
Living 2 Dead Stillborn
20. Occupation, if other than household duties
21. Name and Post Office address of Informant Mrs. Mable Coleman Middleton
22. Name of Doctor, nurse or other person in attendance at birth G.H. Miller, Nurse Mrs. Frank Randsettle
I certify the foregoing to be true and correct to the best of my knowledge and belief.
Given under my hand this 31 December 1919
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/birth/?ID=402338
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