Female Birth Registration: Year: 1921 number: 60400237
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Registered No. 60400237
PROVINCE OF NOVA SCOTIA
CERTIFICATE OF REGISTRATION OF BIRTH
1. PLACE OF BIRTH
County of Yarmouth
City, Town or Village Surette Island
2. FULL NAME OF CHILD Surette, Marie Clair Christine
3. Sex of child
Female
4. Twin, triplet or other?
5. Was the child born alive?
Yes
6. Legitimate?
Yes
7. Date of Birth
September 24, 1921
FATHER
8. Full Name Jean Surette
9. Residence Surette Island
10. Racial Origin French | 11. Age at last birthday 40
12. Birthplace NS
13. Occupation: —
(a) Trade or profession Fishing
(b) Business in which employed
MOTHER
14. Full Maiden Name Melanie Muis
15. Residence Surette Island
16. Racial Origin French | 17. Age at last birthday 37
18. Birthplace NS
19. Number of children of this mother (including this child)
Living 6 Dead 3 Stillborn
20. Occupation, if other than household duties
21. Name and Post Office address of Informant A. R. Melanson Eel Brook
22. Name of Doctor, nurse or other person in attendance at birth A. R. Melanson
I certify the foregoing to be true and correct to the best of my knowledge and belief.
Given under my hand this 29 Sept. 1921
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/birth/?ID=405341
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