Female Birth Registration: Year: 1921 number: 60400319
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Registered No. 60400319
PROVINCE OF NOVA SCOTIA
CERTIFICATE OF REGISTRATION OF BIRTH
1. PLACE OF BIRTH
County of Yarmouth
City, Town or Village Pleasant Lake
2. FULL NAME OF CHILD Nickerson, Pauline Marguerite
3. Sex of child
Female
4. Twin, triplet or other?
5. Was the child born alive?
Yes
6. Legitimate?
Yes
7. Date of Birth
November 14, 1921
FATHER
8. Full Name Gordon Arnold Nickelson
9. Residence Pleasant Lake
10. Racial Origin English | 11. Age at last birthday 32
12. Birthplace Pleasant Lake
13. Occupation: —
(a) Trade or profession Painter
(b) Business in which employed Farming
MOTHER
14. Full Maiden Name Margaret Doane
15. Residence Pleasant Lake
16. Racial Origin English | 17. Age at last birthday 25
18. Birthplace Lakeside
19. Number of children of this mother (including this child)
Living 3 Dead Stillborn
20. Occupation, if other than household duties
21. Name and Post Office address of Informant Gordon A. Nickerson Pleasant Lake, Yar.
22. Name of Doctor, nurse or other person in attendance at birth Dr. G. W. T. Farish Yarmouth
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=405423
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