Female Birth Registration: Year: 1921 number: 61400423
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Registered No. 61400423
PROVINCE OF NOVA SCOTIA
CERTIFICATE OF REGISTRATION OF BIRTH
1. PLACE OF BIRTH
County of Pictou
City, Town or Village Pictou
2. FULL NAME OF CHILD Hersey, Agnes Rita
3. Sex of child
Female
4. Twin, triplet or other?
5. Was the child born alive?
Yes
6. Legitimate?
Yes
7. Date of Birth
March 1, 1921
FATHER
8. Full Name Leonard Matthew Hersey
9. Residence Pictou
10. Racial Origin Irish | 11. Age at last birthday 32
12. Birthplace Guysboro, M.S.
13. Occupation: —
(a) Trade or profession Blacksmith
(b) Business in which employed
MOTHER
14. Full Maiden Name Annie Walsh
15. Residence Pictou
16. Racial Origin Irish | 17. Age at last birthday 27
18. Birthplace Digby N.S.
19. Number of children of this mother (including this child)
Living 3 Dead 1 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. Dunn, Mrs Bigney (nurse)
I certify the foregoing to be true and correct to the best of my knowledge and belief.
Given under my hand this 29 March 1921
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/birth/?ID=407093
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