Female Birth Registration: Year: 1921 number: 61100138
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Registered No. 61100138
PROVINCE OF NOVA SCOTIA
CERTIFICATE OF REGISTRATION OF BIRTH
1. PLACE OF BIRTH
County of Pictou
City, Town or Village Stellarton
2. FULL NAME OF CHILD Zamojski, Annie
3. Sex of child
Female
4. Twin, triplet or other?
5. Was the child born alive?
Yes
6. Legitimate?
Yes
7. Date of Birth
May 11, 1921
FATHER
8. Full Name Stanley Zamojski
9. Residence Stellarton
10. Racial Origin White | 11. Age at last birthday 30
12. Birthplace Poland
13. Occupation: —
(a) Trade or profession Mine
(b) Business in which employed Mining
MOTHER
14. Full Maiden Name Mary Moncoth
15. Residence Stellarton
16. Racial Origin White | 17. Age at last birthday 20
18. Birthplace Poland
19. Number of children of this mother (including this child)
Living 3 Dead Stillborn
20. Occupation, if other than household duties
21. Name and Post Office address of Informant Mary Zamojski Stellarton
22. Name of Doctor, nurse or other person in attendance at birth Growhelven
I certify the foregoing to be true and correct to the best of my knowledge and belief.
Given under my hand this 31 May 1921
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/birth/?ID=406277
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