Male Birth Registration: Year: 1921 number: 40600870
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Registered No. 40600870
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 Williams,
3. Sex of child
Male
4. Twin, triplet or other?
5. Was the child born alive?
No
6. Legitimate?
Yes
7. Date of Birth
November 19, 1921
FATHER
8. Full Name Robert Williams
9. Residence 69 Elm St. Halifax
10. Racial Origin Protestant | 11. Age at last birthday 27
12. Birthplace London, England
13. Occupation: —
(a) Trade or profession
(b) Business in which employed Shoe Maker
MOTHER
14. Full Maiden Name Lily Boutilier
15. Residence 69 Elm St. Halifax
16. Racial Origin Protestant | 17. Age at last birthday 26
18. Birthplace Lunenburg
19. Number of children of this mother (including this child)
Living Dead Stillborn 2
20. Occupation, if other than household duties
21. Name and Post Office address of Informant Mrs. R. Williams
22. Name of Doctor, nurse or other person in attendance at birth Dr. MacIntosh - Miss McDonald
I certify the foregoing to be true and correct to the best of my knowledge and belief.
Given under my hand this 30 November 1921
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/birth/?ID=403868
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