Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Richard Calvin Davis birth Shelburne, Shelburne County on July 12, 1921
Male Birth Registration: Year: 1921 number: 60500621
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Registered No. 60500621
PROVINCE OF NOVA SCOTIA
CERTIFICATE OF REGISTRATION OF BIRTH
1. PLACE OF BIRTH
County of Shelburne
City, Town or Village Shelburne
2. FULL NAME OF CHILD Davis, Richard Calvin
3. Sex of child
Male
4. Twin, triplet or other?
5. Was the child born alive?
Yes
6. Legitimate?
Yes
7. Date of Birth
July 12, 1921
FATHER
8. Full Name Calvin Davis
9. Residence Shelburne, N.S.
10. Racial Origin Canadian | 11. Age at last birthday 27
12. Birthplace Shelburne, N.S.
13. Occupation: —
(a) Trade or profession Ship Carpenter
(b) Business in which employed
MOTHER
14. Full Maiden Name Mary Maud De Champ
15. Residence Shelburne, NS
16. Racial Origin Canadian | 17. Age at last birthday 27
18. Birthplace Shelburne, NS
19. Number of children of this mother (including this child)
Living 5 Dead Stillborn
20. Occupation, if other than household duties
21. Name and Post Office address of Informant Maud Davis Shelburne, NS
22. Name of Doctor, nurse or other person in attendance at birth Barbara Matthews
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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