Female Birth Registration: Year: 1921 number: 60300824
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Registered No. 60300824
PROVINCE OF NOVA SCOTIA
CERTIFICATE OF REGISTRATION OF BIRTH
1. PLACE OF BIRTH
County of Yarmouth
City, Town or Village South Chegoggin
2. FULL NAME OF CHILD Allen, Reta Minola
3. Sex of child
Female
4. Twin, triplet or other?
5. Was the child born alive?
Yes
6. Legitimate?
Yes
7. Date of Birth
January 10, 1921
FATHER
8. Full Name Stayley Goudey Allen
9. Residence South Chegoggin
10. Racial Origin English | 11. Age at last birthday 24
12. Birthplace Pembroke Shore
13. Occupation: —
(a) Trade or profession
(b) Business in which employed Cosmos Cotton Co.
MOTHER
14. Full Maiden Name Viva Belle Forbes
15. Residence South Chegoggin
16. Racial Origin English | 17. Age at last birthday 25
18. Birthplace Kemptville
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 Stayley G. M. Allen Yarmouth
22. Name of Doctor, nurse or other person in attendance at birth Dr. C. A. Webster
I certify the foregoing to be true and correct to the best of my knowledge and belief.
Given under my hand this 31 January 1921
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/birth/
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