Male Birth Registration: Year: 1921 number: 40600101
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Registered No. 40600101
PROVINCE OF NOVA SCOTIA
CERTIFICATE OF REGISTRATION OF BIRTH
1. PLACE OF BIRTH
County of Halifax
City, Town or Village Halifax
2. FULL NAME OF CHILD Peterson, Norman Edward Balwin
3. Sex of child
Male
4. Twin, triplet or other?
5. Was the child born alive?
Yes
6. Legitimate?
Yes
7. Date of Birth
June 21, 1921
FATHER
8. Full Name Charles Norgren Peterson
9. Residence Halifax, 64B North Park
10. Racial Origin Norwegian | 11. Age at last birthday 28
12. Birthplace Norway
13. Occupation: —
(a) Trade or profession Machinst
(b) Business in which employed
MOTHER
14. Full Maiden Name Heloise M. Santerre
15. Residence 64B North Park, Halifax
16. Racial Origin Belgian | 17. Age at last birthday 32
18. Birthplace 2
19. Number of children of this mother (including this child)
Living 2 Dead Stillborn
20. Occupation, if other than household duties
21. Name and Post Office address of Informant Charles N. Peterson Halifax
22. Name of Doctor, nurse or other person in attendance at birth Dr. Buckley
I certify the foregoing to be true and correct to the best of my knowledge and belief.
Given under my hand this
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/birth/?ID=403100
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