Female Birth Registration: Year: 1921 number: 60500651
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Registered No. 60500651
PROVINCE OF NOVA SCOTIA
CERTIFICATE OF REGISTRATION OF BIRTH
1. PLACE OF BIRTH
County of Shelburne
City, Town or Village Clarks Harbour
2. FULL NAME OF CHILD Nickerson, Regina Beryl
3. Sex of child
Female
4. Twin, triplet or other?
5. Was the child born alive?
Yes
6. Legitimate?
Yes
7. Date of Birth
July 21, 1921
FATHER
8. Full Name Frederick Tremaine Nickerson
9. Residence Clarkes Harbour
10. Racial Origin English | 11. Age at last birthday 26
12. Birthplace Clarkes Harbour
13. Occupation: —
(a) Trade or profession Operator
(b) Business in which employed Movies
MOTHER
14. Full Maiden Name Jean Anastasia Langille
15. Residence Clarkes Harbour
16. Racial Origin English | 17. Age at last birthday 22
18. Birthplace Martins River
19. Number of children of this mother (including this child)
Living 2 Dead Stillborn
20. Occupation, if other than household duties
21. Name and Post Office address of Informant Mrs. F. T. Nickerson (Jr.) Clarkes Harbour, Shel.
22. Name of Doctor, nurse or other person in attendance at birth Dr. G. W. Brown
I certify the foregoing to be true and correct to the best of my knowledge and belief.
Given under my hand this 15 August 1921
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/birth/?ID=405664
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