Female Birth Registration: Year: 1921 number: 61100564
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Registered No. 61100564
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 Semple, Bertha Jean
3. Sex of child
Female
4. Twin, triplet or other?
5. Was the child born alive?
Yes
6. Legitimate?
Yes
7. Date of Birth
October 26, 1921
FATHER
8. Full Name Frank Semple
9. Residence Stellarton, Pictou
10. Racial Origin English | 11. Age at last birthday 28
12. Birthplace Stewicke, Colchester
13. Occupation: —
(a) Trade or profession carpenter
(b) Business in which employed mines
MOTHER
14. Full Maiden Name Elizabeth May Bailey
15. Residence Stellarton, Pictou
16. Racial Origin English | 17. Age at last birthday 27
18. Birthplace Carbonear, Newfoudland
19. Number of children of this mother (including this child)
Living 7 Dead Stillborn
20. Occupation, if other than household duties
21. Name and Post Office address of Informant Frank Semple
22. Name of Doctor, nurse or other person in attendance at birth Dr. Benvie
I certify the foregoing to be true and correct to the best of my knowledge and belief.
Given under my hand this 28 November
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/birth/?ID=406700
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