Male Birth Registration: Year: 1921 number: 40600893
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Registered No. 40600893
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 Tolliver, George Arthur Henry
3. Sex of child
Male
4. Twin, triplet or other?
5. Was the child born alive?
Yes
6. Legitimate?
Yes
7. Date of Birth
November 24, 1921
FATHER
8. Full Name Charles Tolliver
9. Residence 110 Maitland St., Halifax
10. Racial Origin African | 11. Age at last birthday 34
12. Birthplace Halifax
13. Occupation: —
(a) Trade or profession Chauffeur
(b) Business in which employed Labor
MOTHER
14. Full Maiden Name Mary Smith
15. Residence 110 Maitland St., Halifax
16. Racial Origin African | 17. Age at last birthday 28
18. Birthplace Halifax
19. Number of children of this mother (including this child)
Living 3 Dead 5 Stillborn
20. Occupation, if other than household duties
21. Name and Post Office address of Informant Mr. Charles Tolliver 110 Maitland St., City
22. Name of Doctor, nurse or other person in attendance at birth Mrs. Kelly
I certify the foregoing to be true and correct to the best of my knowledge and belief.
Given under my hand this 13 December 1921
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Note: African Nova Scotian
Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/birth/?ID=403891
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