Female Birth Registration: Year: 1921 number: 39000479
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Registered No. 39000479
PROVINCE OF NOVA SCOTIA
CERTIFICATE OF REGISTRATION OF BIRTH
1. PLACE OF BIRTH
County of Queens
City, Town or Village Port Medway
2. FULL NAME OF CHILD Verge, Dorithy May
3. Sex of child
Female
4. Twin, triplet or other?
5. Was the child born alive?
Yes
6. Legitimate?
Yes
7. Date of Birth
October 10, 1921
FATHER
8. Full Name John Ambrose Verge
9. Residence Port Medway
10. Racial Origin English | 11. Age at last birthday 45
12. Birthplace Hunts Point
13. Occupation: —
(a) Trade or profession Fishman
(b) Business in which employed
MOTHER
14. Full Maiden Name Medora Maud Verge
15. Residence Port Medway
16. Racial Origin English | 17. Age at last birthday 36
18. Birthplace Port Medway
19. Number of children of this mother (including this child)
Living 8 Dead 3 Stillborn
20. Occupation, if other than household duties
21. Name and Post Office address of Informant Mrs. Ambrose Verge Port Medway, Queens
22. Name of Doctor, nurse or other person in attendance at birth Mrs. Thomas Selig
I certify the foregoing to be true and correct to the best of my knowledge and belief.
Given under my hand this 30 Nov. 1921
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Note: Mother's maiden name is Clattenburg according to marriage certificate.
Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/birth/?ID=402960
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