Female Birth Registration: Year: 1921 number: 40600740
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Registered No. 40600740
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 Fralice, Madeline Rose
3. Sex of child
Female
4. Twin, triplet or other?
5. Was the child born alive?
Yes
6. Legitimate?
7. Date of Birth
October 24, 1921
FATHER
8. Full Name Linwood Fralice
9. Residence Halifax
10. Racial Origin Dutch | 11. Age at last birthday 34
12. Birthplace Halifax
13. Occupation: —
(a) Trade or profession
(b) Business in which employed Labourer
MOTHER
14. Full Maiden Name Florence Payzant
15. Residence Halifax
16. Racial Origin Dutch | 17. Age at last birthday 30
18. Birthplace Liverpool
19. Number of children of this mother (including this child)
Living 6 Dead Stillborn
20. Occupation, if other than household duties
21. Name and Post Office address of Informant Mrs. L. Fralice Halifax
22. Name of Doctor, nurse or other person in attendance at birth Doctor Grayem, Nurse Mrs. F. Fralice
I certify the foregoing to be true and correct to the best of my knowledge and belief.
Given under my hand this 25 November 1921
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/birth/?ID=403738
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