Nova Scotia Archives

Nova Scotia Births, Marriages, and Deaths

Ann Rose Surette birth Morriss Island, Yarmouth County on October 5, 1921

Female Birth Registration: Year: 1921 number: 60400290

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Registered No.  60400290

PROVINCE OF NOVA SCOTIA

CERTIFICATE OF REGISTRATION OF BIRTH

1. PLACE OF BIRTH

County of Yarmouth

City, Town or Village Morriss Island

2. FULL NAME OF CHILD Surette, Ann Rose

3. Sex of child

Female

4. Twin, triplet or other?

5. Was the child born alive?

Yes

6. Legitimate?

Yes

7. Date of Birth

October 5, 1921

FATHER

8. Full Name Romain Surette

9. Residence Morriss Island

10. Racial Origin French | 11. Age at last birthday 38

12. Birthplace Surettes Island

13. Occupation: —

(a) Trade or profession

(b) Business in which employed Fishing

MOTHER

14. Full Maiden Name Ellen LeBlanc

15. Residence Morriss Island

16. Racial Origin French | 17. Age at last birthday 31

18. Birthplace Morriss Island

19. Number of children of this mother (including this child)

Living 7 Dead 1 Stillborn 1

20. Occupation, if other than household duties

21. Name and Post Office address of Informant Romain Surette Surettes Island

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 10 Oct. 1921

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