Female Birth Registration: Year: 1921 number: 40600255
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Registered No. 40600255
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 Worden, Violet Mary Jane
3. Sex of child
Female
4. Twin, triplet or other?
5. Was the child born alive?
Yes
6. Legitimate?
Yes
7. Date of Birth
July 20, 1921
FATHER
8. Full Name Samuel James Worden
9. Residence 13 Stanley Place
10. Racial Origin English | 11. Age at last birthday 39
12. Birthplace Cornwall, England
13. Occupation: —
(a) Trade or profession Machinist
(b) Business in which employed Machinist
MOTHER
14. Full Maiden Name Eliza Jane Ralph
15. Residence 13 Stanley Place
16. Racial Origin English | 17. Age at last birthday 41
18. Birthplace Cornwall, England
19. Number of children of this mother (including this child)
Living 3 Dead Stillborn
20. Occupation, if other than household duties
21. Name and Post Office address of Informant Samuel James Worden 13 Stanley Place, Halifax
22. Name of Doctor, nurse or other person in attendance at birth Miller V. Dr.
I certify the foregoing to be true and correct to the best of my knowledge and belief.
Given under my hand this 27 July 1921
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/birth/?ID=403253
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