Female Birth Registration: Year: 1921 number: 39000383
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Registered No. 39000383
PROVINCE OF NOVA SCOTIA
CERTIFICATE OF REGISTRATION OF BIRTH
1. PLACE OF BIRTH
County of Queens
City, Town or Village Port Joli
2. FULL NAME OF CHILD Theriau, Helen Violet
3. Sex of child
Female
4. Twin, triplet or other?
5. Was the child born alive?
Yes
6. Legitimate?
Yes
7. Date of Birth
June 7, 1921
FATHER
8. Full Name Charles Leander Theriau
9. Residence Port Joli
10. Racial Origin French | 11. Age at last birthday 39
12. Birthplace Port Joli Queens
13. Occupation: —
(a) Trade or profession Fisherman
(b) Business in which employed Fishing
MOTHER
14. Full Maiden Name Rosella Theriau
15. Residence Port Joli
16. Racial Origin Scottish | 17. Age at last birthday 33
18. Birthplace West Middle Sble
19. Number of children of this mother (including this child)
Living 2 Dead 2 Stillborn 2
20. Occupation, if other than household duties
21. Name and Post Office address of Informant Mrs. Charles Leander Theriau Port Joli
22. Name of Doctor, nurse or other person in attendance at birth Dr. Hennigar, Mrs. Maurice Theriau
I certify the foregoing to be true and correct to the best of my knowledge and belief.
Given under my hand this 28 June 1921
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/birth/?ID=402864
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