Male Birth Registration: Year: 1921 number: 61100343
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Registered No. 61100343
PROVINCE OF NOVA SCOTIA
CERTIFICATE OF REGISTRATION OF BIRTH
1. PLACE OF BIRTH
County of Pictou
City, Town or Village New Glasgow
2. FULL NAME OF CHILD Moore, Henry Douglas
3. Sex of child
Male
4. Twin, triplet or other?
5. Was the child born alive?
Yes
6. Legitimate?
Yes
7. Date of Birth
July 6, 1921
FATHER
8. Full Name Henry Ebenezer Moore
9. Residence 174 James St.
10. Racial Origin English | 11. Age at last birthday 21
12. Birthplace Murray River, Prince Edward Island
13. Occupation: —
(a) Trade or profession
(b) Business in which employed Laborer
MOTHER
14. Full Maiden Name Jessie Gertrude Mabel Smith
15. Residence 174 James St
16. Racial Origin Scottish | 17. Age at last birthday 23
18. Birthplace Edinburgh, Scotland
19. Number of children of this mother (including this child)
Living 1 Dead Stillborn
20. Occupation, if other than household duties
21. Name and Post Office address of Informant
22. Name of Doctor, nurse or other person in attendance at birth Dr. Parker, Mrs Joseph Moore
I certify the foregoing to be true and correct to the best of my knowledge and belief.
Given under my hand this 22Jul1921
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/birth/?ID=406481
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