Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Laverna Belle Van Amburg birth Barrington Passage, Shelburne County on November 29, 1921
Female Birth Registration: Year: 1921 number: 60500792
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Registered No. 60500792
PROVINCE OF NOVA SCOTIA
CERTIFICATE OF REGISTRATION OF BIRTH
1. PLACE OF BIRTH
County of Shelburne
City, Town or Village Barrington Passage
2. FULL NAME OF CHILD Van Amburg, Laverna Belle
3. Sex of child
Female
4. Twin, triplet or other?
5. Was the child born alive?
Yes
6. Legitimate?
Yes
7. Date of Birth
November 29, 1921
FATHER
8. Full Name Orlando Forman Van Amburg
9. Residence Barrington Passage
10. Racial Origin Dutch | 11. Age at last birthday 29
12. Birthplace Forbes POint, Shel.
13. Occupation: —
(a) Trade or profession
(b) Business in which employed Fisherman
MOTHER
14. Full Maiden Name Muriel Beatrice Malone
15. Residence Barrington Passage
16. Racial Origin Irish | 17. Age at last birthday 28
18. Birthplace Upper Woods Harbor, Shel.
19. Number of children of this mother (including this child)
Living 2 Dead Stillborn 1
20. Occupation, if other than household duties
21. Name and Post Office address of Informant Muriel R. Van Amburg
22. Name of Doctor, nurse or other person in attendance at birth Dr. H. H. Banks
I certify the foregoing to be true and correct to the best of my knowledge and belief.
Given under my hand this 16 December 1921
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