Male Birth Registration: Year: 1921 number: 60500620
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Registered No. 60500620
PROVINCE OF NOVA SCOTIA
CERTIFICATE OF REGISTRATION OF BIRTH
1. PLACE OF BIRTH
County of Shelburne
City, Town or Village Cape Negro Island
2. FULL NAME OF CHILD Perry, Herman Ashton
3. Sex of child
Male
4. Twin, triplet or other?
twin
5. Was the child born alive?
Yes
6. Legitimate?
Yes
7. Date of Birth
June 25, 1921
FATHER
8. Full Name Freeland Eugene Perry
9. Residence Cape Negro Island
10. Racial Origin English | 11. Age at last birthday 47
12. Birthplace Cape Negro Island
13. Occupation: —
(a) Trade or profession Fisherman
(b) Business in which employed Light Keeper
MOTHER
14. Full Maiden Name Izetta Belle McKinnon
15. Residence Cape Negro Island
16. Racial Origin English | 17. Age at last birthday 43
18. Birthplace Cape Negro Island
19. Number of children of this mother (including this child)
Living 9 Dead 1 Stillborn
20. Occupation, if other than household duties
21. Name and Post Office address of Informant Freeland E. Perry Cape Negro Island
22. Name of Doctor, nurse or other person in attendance at birth J. D. Densmore
I certify the foregoing to be true and correct to the best of my knowledge and belief.
Given under my hand this 16 July 1921
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/birth/?ID=405634
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