Male Birth Registration: Year: 1921 number: 60500591
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Registered No. 60500591
PROVINCE OF NOVA SCOTIA
CERTIFICATE OF REGISTRATION OF BIRTH
1. PLACE OF BIRTH
County of Shelburne
City, Town or Village Welch Town
2. FULL NAME OF CHILD Davis, Martha Ada
3. Sex of child
Male
4. Twin, triplet or other?
5. Was the child born alive?
Yes
6. Legitimate?
Yes
7. Date of Birth
June 2, 1921
FATHER
8. Full Name Frederick Josua Davis
9. Residence Welsh Town, Shelburne
10. Racial Origin English | 11. Age at last birthday 37
12. Birthplace Welsh Town, Shelburne
13. Occupation: —
(a) Trade or profession Lumberman
(b) Business in which employed Lumber
MOTHER
14. Full Maiden Name Martha Louisa Shortliff
15. Residence Shelburne
16. Racial Origin English | 17. Age at last birthday 43
18. Birthplace Shelburne
19. Number of children of this mother (including this child)
Living 8 Dead Stillborn
20. Occupation, if other than household duties
21. Name and Post Office address of Informant Mrs. Frederick Josua Davis Shelburne
22. Name of Doctor, nurse or other person in attendance at birth Martha Davis
I certify the foregoing to be true and correct to the best of my knowledge and belief.
Given under my hand this 8 June 1921
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/birth/?ID=405605
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