Female Birth Registration: Year: 1921 number: 40600309
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Registered No. 40600309
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 Black, Eileen Christine
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 30, 1921
FATHER
8. Full Name Roy Bliss Black
9. Residence 105 Cunard St., Halifax
10. Racial Origin English | 11. Age at last birthday 24
12. Birthplace Amherst
13. Occupation: —
(a) Trade or profession Iron worker
(b) Business in which employed Halifax Shipyard
MOTHER
14. Full Maiden Name Amy Mercia Berrett
15. Residence 105 Cunard St., Halifax
16. Racial Origin English | 17. Age at last birthday 24
18. Birthplace England
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 Amy Mercia Black Halifax
22. Name of Doctor, nurse or other person in attendance at birth Dr. Grace Rice
I certify the foregoing to be true and correct to the best of my knowledge and belief.
Given under my hand this 14 August 1921
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/birth/?ID=403307
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