Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Charles Douglas Polley birth Trenton, Pictou County on August 23, 1921
Male Birth Registration: Year: 1921 number: 61100431
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Registered No. 61100431
PROVINCE OF NOVA SCOTIA
CERTIFICATE OF REGISTRATION OF BIRTH
1. PLACE OF BIRTH
County of Pictou
City, Town or Village Trenton
2. FULL NAME OF CHILD Polley, Charles 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
August 23, 1921
FATHER
8. Full Name Fred Polley
9. Residence Trenton
10. Racial Origin English | 11. Age at last birthday 44
12. Birthplace Port Elgin, N.B.
13. Occupation: —
(a) Trade or profession Carpenter
(b) Business in which employed
MOTHER
14. Full Maiden Name Louise Trenholm
15. Residence Trenton
16. Racial Origin Scottish | 17. Age at last birthday 31
18. Birthplace Port Elgin, N.B.
19. Number of children of this mother (including this child)
Living 5 Dead 2 Stillborn
20. Occupation, if other than household duties
21. Name and Post Office address of Informant Fred Polley Trenton
22. Name of Doctor, nurse or other person in attendance at birth Dr. Stramberg
I certify the foregoing to be true and correct to the best of my knowledge and belief.
Given under my hand this 19 September 1921
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