Male Birth Registration: Year: 1921 number: 60400301
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Registered No. 60400301
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 Nickerson, Charles Frank
3. Sex of child
Male
4. Twin, triplet or other?
5. Was the child born alive?
Yes
6. Legitimate?
Yes
7. Date of Birth
November 13, 1921
FATHER
8. Full Name Joseph Ashton Berton Nickerson
9. Residence Yarmouth
10. Racial Origin Scottish | 11. Age at last birthday 25
12. Birthplace Lower Woods Harbor, Shelbourne
13. Occupation: —
(a) Trade or profession Fishing
(b) Business in which employed none
MOTHER
14. Full Maiden Name Mary Irene Sweeney
15. Residence Yarmouth
16. Racial Origin Irish | 17. Age at last birthday 21
18. Birthplace Yarmouth
19. Number of children of this mother (including this child)
Living 1 Dead Stillborn
20. Occupation, if other than household duties
21. Name and Post Office address of Informant Joseph Ashton Berton Nickerson Yarmouth
22. Name of Doctor, nurse or other person in attendance at birth Dr. A. J. Fuller, C.K. Fuller, Miss McMartin
I certify the foregoing to be true and correct to the best of my knowledge and belief.
Given under my hand this 20 November 1921
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/birth/?ID=405405
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