Female Birth Registration: Year: 1921 number: 39000411
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Registered No. 39000411
PROVINCE OF NOVA SCOTIA
CERTIFICATE OF REGISTRATION OF BIRTH
1. PLACE OF BIRTH
County of Queens
City, Town or Village West Caledonia
2. FULL NAME OF CHILD Forrest, Annie Isabelle
3. Sex of child
Female
4. Twin, triplet or other?
5. Was the child born alive?
Yes
6. Legitimate?
Yes
7. Date of Birth
July 30, 1921
FATHER
8. Full Name Lindley Clifton Forrest
9. Residence New Grafton
10. Racial Origin English | 11. Age at last birthday 24
12. Birthplace New Grafton
13. Occupation: —
(a) Trade or profession General laborer
(b) Business in which employed
MOTHER
14. Full Maiden Name Mary Alice Carver
15. Residence New Grafton
16. Racial Origin English | 17. Age at last birthday 23
18. Birthplace West Caledonia
19. Number of children of this mother (including this child)
Living 3 Dead Stillborn
20. Occupation, if other than household duties
21. Name and Post Office address of Informant Mrs. Lindley Forrest New Grafton, Queens
22. Name of Doctor, nurse or other person in attendance at birth Dr. A. C. McLeod
I certify the foregoing to be true and correct to the best of my knowledge and belief.
Given under my hand this 19 August 1921
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/birth/?ID=402892
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