Male Birth Registration: Year: 1921 number: 61700394
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Registered No. 61700394
PROVINCE OF NOVA SCOTIA
CERTIFICATE OF REGISTRATION OF BIRTH
1. PLACE OF BIRTH
County of Lunenburg
City, Town or Village Oakland
2. FULL NAME OF CHILD Burgoyne, Sharon Omer David
3. Sex of child
Male
4. Twin, triplet or other?
5. Was the child born alive?
Yes
6. Legitimate?
Yes
7. Date of Birth
September 5, 1921
FATHER
8. Full Name Frederick Stannage? Burgoyne
9. Residence Oakland
10. Racial Origin French | 11. Age at last birthday 40
12. Birthplace Oakland
13. Occupation: —
(a) Trade or profession Master ship builder
(b) Business in which employed
MOTHER
14. Full Maiden Name Josephine Elizabeth Mader
15. Residence Oakland
16. Racial Origin German | 17. Age at last birthday 39
18. Birthplace Clearland
19. Number of children of this mother (including this child)
Living 3 Dead Stillborn
20. Occupation, if other than household duties
21. Name and Post Office address of Informant Fred S Burgoyne Mahone Bay
22. Name of Doctor, nurse or other person in attendance at birth W N Cochran M.D.
I certify the foregoing to be true and correct to the best of my knowledge and belief.
Given under my hand this 4 Oct 1921
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/birth/?ID=407513
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