Male Birth Registration: Year: 1921 number: 60500803
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Registered No. 60500803
PROVINCE OF NOVA SCOTIA
CERTIFICATE OF REGISTRATION OF BIRTH
1. PLACE OF BIRTH
County of Shelburne
City, Town or Village Jordan Falls
2. FULL NAME OF CHILD Matthews, Chester Burnham
3. Sex of child
Male
4. Twin, triplet or other?
5. Was the child born alive?
Yes
6. Legitimate?
No
7. Date of Birth
December 13, 1921
FATHER
8. Full Name
9. Residence
10. Racial Origin | 11. Age at last birthday
12. Birthplace
13. Occupation: —
(a) Trade or profession
(b) Business in which employed
MOTHER
14. Full Maiden Name Alice Matthews
15. Residence Jordan Falls
16. Racial Origin White | 17. Age at last birthday 27
18. Birthplace East Jordan
19. Number of children of this mother (including this child)
Living 1 Dead Stillborn
20. Occupation, if other than household duties Tailoress
21. Name and Post Office address of Informant Mrs Hannah Matthews
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 18 December 1921
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/birth/?ID=405814
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