Male Birth Registration: Year: 1921 number: 60500640
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Registered No. 60500640
PROVINCE OF NOVA SCOTIA
CERTIFICATE OF REGISTRATION OF BIRTH
1. PLACE OF BIRTH
County of Shelburne
City, Town or Village Clyde River
2. FULL NAME OF CHILD Van Norden, Herman William
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 9, 1921
FATHER
8. Full Name Wiliam Avery Van Norden
9. Residence CLyde River
10. Racial Origin English | 11. Age at last birthday 31
12. Birthplace Port Saxon, Shelb.
13. Occupation: —
(a) Trade or profession Comon Laborer
(b) Business in which employed Pulp Mill
MOTHER
14. Full Maiden Name Hattie Evelyn Greenwood
15. Residence Clyde River
16. Racial Origin English | 17. Age at last birthday 27
18. Birthplace Port Clyde, Shelb.
19. Number of children of this mother (including this child)
Living 3 Dead Stillborn
20. Occupation, if other than household duties
21. Name and Post Office address of Informant Mrs. Avery Van Norden Clyde River, Shelb.
22. Name of Doctor, nurse or other person in attendance at birth Mrs. Greenwood and Dr. H. D. Wilson
I certify the foregoing to be true and correct to the best of my knowledge and belief.
Given under my hand this 29 July 1921
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/birth/?ID=405653
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