Female Birth Registration: Year: 1921 number: 40600557
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Registered No. 40600557
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 Haughn, Daisy Bernice
3. Sex of child
Female
4. Twin, triplet or other?
5. Was the child born alive?
Yes
6. Legitimate?
Yes
7. Date of Birth
September 17, 1921
FATHER
8. Full Name Everett Arlington Haughn
9. Residence 29 Kane Place, Halifax
10. Racial Origin English | 11. Age at last birthday 45
12. Birthplace Port Medway, Queens Co.
13. Occupation: —
(a) Trade or profession Cook
(b) Business in which employed Unemployed
MOTHER
14. Full Maiden Name Hettie Crowley
15. Residence 29 Kane Place, Halifax
16. Racial Origin Irish | 17. Age at last birthday 39
18. Birthplace Port Medway, Queens Co.
19. Number of children of this mother (including this child)
Living 4 Dead Stillborn
20. Occupation, if other than household duties
21. Name and Post Office address of Informant Everett Haughn Port Medway, N.S.
22. Name of Doctor, nurse or other person in attendance at birth V. L. Miller, Miss Larkins
I certify the foregoing to be true and correct to the best of my knowledge and belief.
Given under my hand this 10 October 1921
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/birth/
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