Female Birth Registration: Year: 1921 number: 61700282
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Registered No. 61700282
PROVINCE OF NOVA SCOTIA
CERTIFICATE OF REGISTRATION OF BIRTH
1. PLACE OF BIRTH
County of Lunenburg
City, Town or Village West Lahave
2. FULL NAME OF CHILD Wagner, Annie Mae Agnes
3. Sex of child
Female
4. Twin, triplet or other?
5. Was the child born alive?
Yes
6. Legitimate?
Yes
7. Date of Birth
July 28, 1921
FATHER
8. Full Name Karl Steadman Wagner
9. Residence West La Have
10. Racial Origin English | 11. Age at last birthday 29
12. Birthplace West La Have
13. Occupation: —
(a) Trade or profession
(b) Business in which employed Fisherman
MOTHER
14. Full Maiden Name Laura Agnes Mullock
15. Residence La Have
16. Racial Origin English | 17. Age at last birthday 28
18. Birthplace La Have
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 Mrs. Karl S. Wagner West La Have, Lun.
22. Name of Doctor, nurse or other person in attendance at birth Dr. F. R. Davis; Nurse Mrs Sophia Shankle
I certify the foregoing to be true and correct to the best of my knowledge and belief.
Given under my hand this 22 August 1921
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/birth/?ID=407401
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