Male Birth Registration: Year: 1921 number: 40800424
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Registered No. 40800424
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 Maxwell, Thomas Robert
3. Sex of child
Male
4. Twin, triplet or other?
5. Was the child born alive?
Yes
6. Legitimate?
Yes
7. Date of Birth
April 17, 1921
FATHER
8. Full Name David N. Maxwell
9. Residence 27 Bauer St., Halifax, N.S. Can.
10. Racial Origin African | 11. Age at last birthday 35
12. Birthplace Halifax, N.S., Can.
13. Occupation: —
(a) Trade or profession Trade
(b) Business in which employed Shoe Shiner
MOTHER
14. Full Maiden Name Sophia Kelly
15. Residence 27 Bauer St., Halifax, N.S., Can.
16. Racial Origin African | 17. Age at last birthday 34
18. Birthplace Halifax, N.S., Can.
19. Number of children of this mother (including this child)
Living 8 Dead 1 Stillborn
20. Occupation, if other than household duties
21. Name and Post Office address of Informant David N. Maxwell 27 Bauer St., Halifax, N.S., Canada
22. Name of Doctor, nurse or other person in attendance at birth Mrs. A. Kelly, Nurse & Mid Wife
I certify the foregoing to be true and correct to the best of my knowledge and belief.
Given under my hand this 9 May 1921
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Note: African Nova Scotian
Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/birth/
Crown copyright © 2024, Province of Nova Scotia.