Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Gordon Samuel Gay Black birth Halifax, Halifax County on October 23, 1921
Male Birth Registration: Year: 1921 number: 40600729
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Registered No. 40600729
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, Gordon Samuel Gay
3. Sex of child
Male
4. Twin, triplet or other?
5. Was the child born alive?
Yes
6. Legitimate?
Yes
7. Date of Birth
October 23, 1921
FATHER
8. Full Name Walter Allan Black
9. Residence 30 Ivanhoe St.
10. Racial Origin Scottish | 11. Age at last birthday 43
12. Birthplace Halifax
13. Occupation: —
(a) Trade or profession Steamship Agent
(b) Business in which employed steamship
MOTHER
14. Full Maiden Name Violet Mary Bullock
15. Residence 30 Ivanhoe St
16. Racial Origin English | 17. Age at last birthday 39
18. Birthplace Gebralta
19. Number of children of this mother (including this child)
Living 5 Dead Stillborn
20. Occupation, if other than household duties
21. Name and Post Office address of Informant Walter A. Black 30 Ivanhoe St., Halifax
22. Name of Doctor, nurse or other person in attendance at birth Dr. W.B. Almon
I certify the foregoing to be true and correct to the best of my knowledge and belief.
Given under my hand this 31 May 1922
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