Female Birth Registration: Year: 1921 number: 40800572
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Registered No. 40800572
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 Smith, Etta May
3. Sex of child
Female
4. Twin, triplet or other?
5. Was the child born alive?
Yes
6. Legitimate?
Yes
7. Date of Birth
May 17, 1921
FATHER
8. Full Name Walter Graham Smith
9. Residence 30 St. John Ave.
10. Racial Origin British | 11. Age at last birthday 39
12. Birthplace Bermuda
13. Occupation: —
(a) Trade or profession Cooper
(b) Business in which employed Moir's Limited
MOTHER
14. Full Maiden Name Mary F. Jackson
15. Residence 30 St. John Ave.
16. Racial Origin English | 17. Age at last birthday 35
18. Birthplace Halifax, N.S.
19. Number of children of this mother (including this child)
Living 4 Dead Stillborn
20. Occupation, if other than household duties
21. Name and Post Office address of Informant
22. Name of Doctor, nurse or other person in attendance at birth Mrs. Kelly, Mid-wife
I certify the foregoing to be true and correct to the best of my knowledge and belief.
Given under my hand this
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/birth/?ID=404657
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