Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Douglas Edward Waterman birth North Brookfield, Queens County on August 2, 1921
Male Birth Registration: Year: 1921 number: 39000426
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Registered No. 39000426
PROVINCE OF NOVA SCOTIA
CERTIFICATE OF REGISTRATION OF BIRTH
1. PLACE OF BIRTH
County of Queens
City, Town or Village North Brookfield
2. FULL NAME OF CHILD Waterman, Douglas Edward
3. Sex of child
Male
4. Twin, triplet or other?
5. Was the child born alive?
Yes
6. Legitimate?
Yes
7. Date of Birth
August 2, 1921
FATHER
8. Full Name Edward Waterman
9. Residence North Brookfield
10. Racial Origin English | 11. Age at last birthday 44
12. Birthplace Pleasant River, Queens
13. Occupation: —
(a) Trade or profession
(b) Business in which employed Farmer
MOTHER
14. Full Maiden Name Ida Fancy
15. Residence North Brookfield
16. Racial Origin German | 17. Age at last birthday 31
18. Birthplace North Brookfield
19. Number of children of this mother (including this child)
Living 4 Dead 1 Stillborn
20. Occupation, if other than household duties
21. Name and Post Office address of Informant Miss Emma Frail Westfield
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 15 August 1921
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