Male Birth Registration: Year: 1921 number: 60400168
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Registered No. 60400168
PROVINCE OF NOVA SCOTIA
CERTIFICATE OF REGISTRATION OF BIRTH
1. PLACE OF BIRTH
County of Yarmouth
City, Town or Village Yarmouth
2. FULL NAME OF CHILD Bain,
3. Sex of child
Male
4. Twin, triplet or other?
5. Was the child born alive?
No
6. Legitimate?
Yes
7. Date of Birth
August 24, 1921
FATHER
8. Full Name Raymond D. Bain
9. Residence Pembrooke
10. Racial Origin English | 11. Age at last birthday 23
12. Birthplace So. Chegoggin, Yar. Co
13. Occupation: —
(a) Trade or profession Shoe maker
(b) Business in which employed unemployed
MOTHER
14. Full Maiden Name Theresa Winifred Randall
15. Residence No. Kemptville
16. Racial Origin English | 17. Age at last birthday 22
18. Birthplace No. Kemptville
19. Number of children of this mother (including this child)
Living Dead 1 Stillborn
20. Occupation, if other than household duties Teacher
21. Name and Post Office address of Informant Mrs. Dexter Randall No. Kemptville
22. Name of Doctor, nurse or other person in attendance at birth Dr. Hawkins
I certify the foregoing to be true and correct to the best of my knowledge and belief.
Given under my hand this 29 August 1921
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/birth/?ID=405272
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