Female Birth Registration: Year: 1921 number: 60500498
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Registered No. 60500498
PROVINCE OF NOVA SCOTIA
CERTIFICATE OF REGISTRATION OF BIRTH
1. PLACE OF BIRTH
County of Shelburne
City, Town or Village Lower Woods Har.
2. FULL NAME OF CHILD Henderson, Valerie Jenette
3. Sex of child
Female
4. Twin, triplet or other?
5. Was the child born alive?
Yes
6. Legitimate?
Yes
7. Date of Birth
January 28, 1921
FATHER
8. Full Name Mr. G. E. Henderson
9. Residence 22 Cedar St., Charlestown, Boston
10. Racial Origin English | 11. Age at last birthday 42
12. Birthplace Eastport, Maine
13. Occupation: —
(a) Trade or profession Trainman
(b) Business in which employed
MOTHER
14. Full Maiden Name Grace Crowell
15. Residence Lower Woods Har. Shelb
16. Racial Origin English | 17. Age at last birthday 32
18. Birthplace Lower Woods Har. Shelb
19. Number of children of this mother (including this child)
Living 1 Dead Stillborn
20. Occupation, if other than household duties Dressmaker
21. Name and Post Office address of Informant Lower Woods Har., Shelb
22. Name of Doctor, nurse or other person in attendance at birth Doctor Banks
I certify the foregoing to be true and correct to the best of my knowledge and belief.
Given under my hand this 23 February 1921
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/birth/?ID=405514
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