Male Birth Registration: Year: 1921 number: 60700608
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Registered No. 60700608
PROVINCE OF NOVA SCOTIA
CERTIFICATE OF REGISTRATION OF BIRTH
1. PLACE OF BIRTH
County of Richmond
City, Town or Village South River Bourgeois
2. FULL NAME OF CHILD Burke, Peter Amos
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 2, 1921
FATHER
8. Full Name Domonick Burke
9. Residence River Bourgeois South
10. Racial Origin French | 11. Age at last birthday 54
12. Birthplace River Bourgeois South
13. Occupation: —
(a) Trade or profession Fisherman
(b) Business in which employed Fishing
MOTHER
14. Full Maiden Name Phillis Bourke
15. Residence River Bourgeois South
16. Racial Origin French | 17. Age at last birthday 40
18. Birthplace River Bourgeois South
19. Number of children of this mother (including this child)
Living 11 Dead 1 Stillborn
20. Occupation, if other than household duties
21. Name and Post Office address of Informant Domonick Burke River Bourgeois South
22. Name of Doctor, nurse or other person in attendance at birth Dr. J. A. McDonald of St. Peter's, C.B.
I certify the foregoing to be true and correct to the best of my knowledge and belief.
Given under my hand this 10 Nov. 1921
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/birth/?ID=406087
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