Female Birth Registration: Year: 1921 number: 60700470
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Registered No. 60700470
PROVINCE OF NOVA SCOTIA
CERTIFICATE OF REGISTRATION OF BIRTH
1. PLACE OF BIRTH
County of Richmond
City, Town or Village River Bourgeois
2. FULL NAME OF CHILD Bouchie, Mary Rachel
3. Sex of child
Female
4. Twin, triplet or other?
5. Was the child born alive?
Yes
6. Legitimate?
Yes
7. Date of Birth
June 21, 1921
FATHER
8. Full Name Charles B. Bouchie
9. Residence River Bourgeois
10. Racial Origin Acadian | 11. Age at last birthday 44
12. Birthplace River Bourgeois
13. Occupation: —
(a) Trade or profession Seaman
(b) Business in which employed Seaman
MOTHER
14. Full Maiden Name Amelia Ann Sampson
15. Residence River Bourgeois
16. Racial Origin Acadian | 17. Age at last birthday 33
18. Birthplace Sampson Ville
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 Chas. B. Bouchie River Bourgeois
22. Name of Doctor, nurse or other person in attendance at birth J. A McDonald, Mrs. L. Bouchie
I certify the foregoing to be true and correct to the best of my knowledge and belief.
Given under my hand this 11 July 1921
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/birth/?ID=405949
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