Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Herman Douglas Phalen birth East Port Medway, Queens County on September 6, 1921
Male Birth Registration: Year: 1921 number: 39000461
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Registered No. 39000461
PROVINCE OF NOVA SCOTIA
CERTIFICATE OF REGISTRATION OF BIRTH
1. PLACE OF BIRTH
County of Queens
City, Town or Village East Port Medway
2. FULL NAME OF CHILD Phalen, Herman Douglas
3. Sex of child
Male
4. Twin, triplet or other?
5. Was the child born alive?
Yes
6. Legitimate?
Yes
7. Date of Birth
September 6, 1921
FATHER
8. Full Name William Adelbert Phalen
9. Residence East Port Medway
10. Racial Origin English | 11. Age at last birthday 45
12. Birthplace East Port Medway, Queens
13. Occupation: —
(a) Trade or profession fisherman
(b) Business in which employed fishing
MOTHER
14. Full Maiden Name Eliza Jane Sharpe
15. Residence East Port Medway
16. Racial Origin English | 17. Age at last birthday 39
18. Birthplace Voglers Cove, Lunenburg
19. Number of children of this mother (including this child)
Living 6 Dead Stillborn
20. Occupation, if other than household duties
21. Name and Post Office address of Informant William Adelbert Phalen East Port Medway
22. Name of Doctor, nurse or other person in attendance at birth Dr. J. Smith, Mills Village
I certify the foregoing to be true and correct to the best of my knowledge and belief.
Given under my hand this 24 September 1921
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