Female Birth Registration: Year: 1921 number: 60500575
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Registered No. 60500575
PROVINCE OF NOVA SCOTIA
CERTIFICATE OF REGISTRATION OF BIRTH
1. PLACE OF BIRTH
County of Shelburne
City, Town or Village Green Harbor
2. FULL NAME OF CHILD McIntosh, Helen Jane
3. Sex of child
Female
4. Twin, triplet or other?
5. Was the child born alive?
Yes
6. Legitimate?
Yes
7. Date of Birth
May 28, 1921
FATHER
8. Full Name Harry Allen McIntosh
9. Residence Green Harbor
10. Racial Origin Scottish | 11. Age at last birthday 44
12. Birthplace Green Harbor
13. Occupation: —
(a) Trade or profession
(b) Business in which employed Saw mill
MOTHER
14. Full Maiden Name Helen Jane Purney
15. Residence Green Harbor
16. Racial Origin English | 17. Age at last birthday 36
18. Birthplace Jordan Ferry
19. Number of children of this mother (including this child)
Living 3 Dead 3 Stillborn
20. Occupation, if other than household duties
21. Name and Post Office address of Informant Harry McIntosh Green Harbor
22. Name of Doctor, nurse or other person in attendance at birth Mrs. Cassandra Williams
I certify the foregoing to be true and correct to the best of my knowledge and belief.
Given under my hand this 24 June 1921
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/birth/?ID=405589
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