Female Birth Registration: Year: 1921 number: 40600856
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Registered No. 40600856
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 Wagner, Doris Lausia
3. Sex of child
Female
4. Twin, triplet or other?
5. Was the child born alive?
Yes
6. Legitimate?
Yes
7. Date of Birth
November 17, 1921
FATHER
8. Full Name Laurence Jason Wagner
9. Residence 5 Wright Ave. Halifax
10. Racial Origin English | 11. Age at last birthday 28
12. Birthplace New Canada
13. Occupation: —
(a) Trade or profession Chauffeur
(b) Business in which employed
MOTHER
14. Full Maiden Name Bessie Maud Nelson
15. Residence 5 Wright Ave. Halifax
16. Racial Origin English | 17. Age at last birthday 29
18. Birthplace Annapolis Royal
19. Number of children of this mother (including this child)
Living 4 Dead 2 Stillborn
20. Occupation, if other than household duties
21. Name and Post Office address of Informant Mrs. Lawrence Wagner
22. Name of Doctor, nurse or other person in attendance at birth Dr. C. Morton
I certify the foregoing to be true and correct to the best of my knowledge and belief.
Given under my hand this 6 December 1921
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/birth/?ID=403854
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