Male Birth Registration: Year: 1921 number: 60500771
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Registered No. 60500771
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 Grovestein, Floyd Clinton
3. Sex of child
Male
4. Twin, triplet or other?
5. Was the child born alive?
Yes
6. Legitimate?
Yes
7. Date of Birth
November 5, 1921
FATHER
8. Full Name Charles Edward Grovestein
9. Residence Shelburne, N.S.
10. Racial Origin English | 11. Age at last birthday 30
12. Birthplace Shelburne, N.S.
13. Occupation: —
(a) Trade or profession
(b) Business in which employed meat business
MOTHER
14. Full Maiden Name Mary Louise Miller
15. Residence Jordan Ferry
16. Racial Origin English | 17. Age at last birthday 30
18. Birthplace Jordan Ferry
19. Number of children of this mother (including this child)
Living 4 Dead Stillborn
20. Occupation, if other than household duties
21. Name and Post Office address of Informant Mrs. Chas. Grovestein Shelburne, N.S.
22. Name of Doctor, nurse or other person in attendance at birth Dr. A. L. Fuller, Mrs. Ellsworth Swansburg
I certify the foregoing to be true and correct to the best of my knowledge and belief.
Given under my hand this 30 November 1921
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/birth/?ID=405782
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