Male Birth Registration: Year: 1921 number: 61100088
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Registered No. 61100088
PROVINCE OF NOVA SCOTIA
CERTIFICATE OF REGISTRATION OF BIRTH
1. PLACE OF BIRTH
County of Pictou
City, Town or Village Seafoam
2. FULL NAME OF CHILD Gray, Henry Warren
3. Sex of child
Male
4. Twin, triplet or other?
5. Was the child born alive?
Yes
6. Legitimate?
Yes
7. Date of Birth
April 25, 1921
FATHER
8. Full Name Daniel Gray
9. Residence Seafoam, Pictou
10. Racial Origin Scottish | 11. Age at last birthday 39
12. Birthplace Seafoam, Pictou
13. Occupation: —
(a) Trade or profession Farmer
(b) Business in which employed
MOTHER
14. Full Maiden Name Sadie Marie Payne
15. Residence Seafoam, Pictou
16. Racial Origin Scottish | 17. Age at last birthday 34
18. Birthplace River John, Pictou
19. Number of children of this mother (including this child)
Living 2 Dead 2 Stillborn
20. Occupation, if other than household duties
21. Name and Post Office address of Informant R.R.4, River John
22. Name of Doctor, nurse or other person in attendance at birth Dr. D.A. Murray
I certify the foregoing to be true and correct to the best of my knowledge and belief.
Given under my hand this 4 June 1921
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/birth/?ID=406227
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