Male Birth Registration: Year: 1921 number: 60500699
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Registered No. 60500699
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 Burbine, William Joseph
3. Sex of child
Male
4. Twin, triplet or other?
5. Was the child born alive?
Yes
6. Legitimate?
Yes
7. Date of Birth
September 11, 1921
FATHER
8. Full Name Frank Burbine
9. Residence Shelburne
10. Racial Origin French | 11. Age at last birthday 21
12. Birthplace Shelburne
13. Occupation: —
(a) Trade or profession General
(b) Business in which employed
MOTHER
14. Full Maiden Name Miss Annie Marion Labrador
15. Residence Shelburne
16. Racial Origin Indian | 17. Age at last birthday 21
18. Birthplace Shelburne County
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. Frank Burbine
22. Name of Doctor, nurse or other person in attendance at birth Dr. L. P. Churchill
I certify the foregoing to be true and correct to the best of my knowledge and belief.
Given under my hand this 21 September 1921
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Note: Mi'kmaq
Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/birth/?ID=405710
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