Male Birth Registration: Year: 1921 number: 61100041
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Registered No. 61100041
PROVINCE OF NOVA SCOTIA
CERTIFICATE OF REGISTRATION OF BIRTH
1. PLACE OF BIRTH
County of Pictou
City, Town or Village Thorburn
2. FULL NAME OF CHILD Stevens,
3. Sex of child
Male
4. Twin, triplet or other?
5. Was the child born alive?
No
6. Legitimate?
Yes
7. Date of Birth
April 23, 1921
FATHER
8. Full Name Charles Stevens
9. Residence Thorburn
10. Racial Origin Scottish | 11. Age at last birthday 28
12. Birthplace U.S.A.
13. Occupation: —
(a) Trade or profession Miner
(b) Business in which employed Miner
MOTHER
14. Full Maiden Name Laura ?Boutilier
15. Residence Thorburn
16. Racial Origin Scottish | 17. Age at last birthday 22
18. Birthplace Thorburn
19. Number of children of this mother (including this child)
Living Dead Stillborn 3
20. Occupation, if other than household duties
21. Name and Post Office address of Informant M.B. Day, M.D.
22. Name of Doctor, nurse or other person in attendance at birth M.B. Day, M.D.
I certify the foregoing to be true and correct to the best of my knowledge and belief.
Given under my hand this 28 April 1921
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/birth/?ID=406183
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