Female Birth Registration: Year: 1921 number: 39000443
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Registered No. 39000443
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 Douglas, Aretha Belle
3. Sex of child
Female
4. Twin, triplet or other?
5. Was the child born alive?
Yes
6. Legitimate?
Yes
7. Date of Birth
September 7, 1921
FATHER
8. Full Name William Clayton Douglas
9. Residence Port Joli
10. Racial Origin Scottish | 11. Age at last birthday 36
12. Birthplace Lockeport, Shelburne
13. Occupation: —
(a) Trade or profession Fisherman
(b) Business in which employed fishing
MOTHER
14. Full Maiden Name Brenda Jane Dash
15. Residence Port Joli
16. Racial Origin Scottish | 17. Age at last birthday 20
18. Birthplace Louis Head, Shelburne
19. Number of children of this mother (including this child)
Living 1 Dead Stillborn
20. Occupation, if other than household duties
21. Name and Post Office address of Informant Mrs. Clayton Douglas Port Joli
22. Name of Doctor, nurse or other person in attendance at birth C. S. Hennigar, M.D., Sophronia H. Dash (nurse)
I certify the foregoing to be true and correct to the best of my knowledge and belief.
Given under my hand this 22 Sept.1921
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/birth/?ID=402924
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