Male Birth Registration: Year: 1921 number: 60500709
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Registered No. 60500709
PROVINCE OF NOVA SCOTIA
CERTIFICATE OF REGISTRATION OF BIRTH
1. PLACE OF BIRTH
County of Shelburne
City, Town or Village Green Harbour Village
2. FULL NAME OF CHILD Hiltz,
3. Sex of child
Male
4. Twin, triplet or other?
5. Was the child born alive?
No
6. Legitimate?
7. Date of Birth
September 6, 1921
FATHER
8. Full Name Edward L. Hiltz
9. Residence Dwelling House
10. Racial Origin Dutch | 11. Age at last birthday 41
12. Birthplace Green Harbour, Shelburne
13. Occupation: —
(a) Trade or profession Fisherman
(b) Business in which employed Fishing business
MOTHER
14. Full Maiden Name Dorothy Louise Young
15. Residence Dwelling House
16. Racial Origin Dutch | 17. Age at last birthday 33
18. Birthplace Green Harbour
19. Number of children of this mother (including this child)
Living 4 Dead 3 Stillborn 2
20. Occupation, if other than household duties
21. Name and Post Office address of Informant Mrs. Edw. Hiltz Lockeport P.O.
22. Name of Doctor, nurse or other person in attendance at birth Dr. T. C. Lockwood & Mrs. Emily Williams
I certify the foregoing to be true and correct to the best of my knowledge and belief.
Given under my hand this 22 Nov. 1921
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/birth/?ID=405720
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