Male Birth Registration: Year: 1921 number: 40600496
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Registered No. 40600496
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 Mosher, Simon Max
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 5, 1921
FATHER
8. Full Name Israel Morriss Mosher
9. Residence 433 Brunswick St.
10. Racial Origin Jewish | 11. Age at last birthday 40
12. Birthplace Russia
13. Occupation: —
(a) Trade or profession
(b) Business in which employed Gents Furnishings
MOTHER
14. Full Maiden Name Ida Hinda Smith
15. Residence 433 Brunswick St.
16. Racial Origin Jewish | 17. Age at last birthday 32
18. Birthplace Russia
19. Number of children of this mother (including this child)
Living 3 Dead 2 Stillborn 1
20. Occupation, if other than household duties
21. Name and Post Office address of Informant Morris I. Mosher 433 Brunswick St.
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 16 September 1921
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/birth/
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