Male Birth Registration: Year: 1921 number: 60500697
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Registered No. 60500697
PROVINCE OF NOVA SCOTIA
CERTIFICATE OF REGISTRATION OF BIRTH
1. PLACE OF BIRTH
County of Shelburne
City, Town or Village Cape Negro
2. FULL NAME OF CHILD Smith, William Avery
3. Sex of child
Male
4. Twin, triplet or other?
5. Was the child born alive?
Yes
6. Legitimate?
Yes
7. Date of Birth
August 22, 1921
FATHER
8. Full Name Mr. Wm. Murray Smith
9. Residence Cape Negro
10. Racial Origin English | 11. Age at last birthday 28
12. Birthplace Cape Negro, Shelb.
13. Occupation: —
(a) Trade or profession Mariner
(b) Business in which employed
MOTHER
14. Full Maiden Name Miss Nema Lydia Slate
15. Residence Slateville
16. Racial Origin English | 17. Age at last birthday 23
18. Birthplace Slateville, Shelb.
19. Number of children of this mother (including this child)
Living 1 Dead Stillborn
20. Occupation, if other than household duties
21. Name and Post Office address of Informant Mrs. Wm. Murray Smith Cape Negor, Shelburne
22. Name of Doctor, nurse or other person in attendance at birth 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 5 Sept. 1921
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/birth/?ID=405708
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