Male Birth Registration: Year: 1921 number: 61700413
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Registered No. 61700413
PROVINCE OF NOVA SCOTIA
CERTIFICATE OF REGISTRATION OF BIRTH
1. PLACE OF BIRTH
County of Lunenburg
City, Town or Village Mill Cove
2. FULL NAME OF CHILD Roy,
3. Sex of child
Male
4. Twin, triplet or other?
5. Was the child born alive?
No
6. Legitimate?
Yes
7. Date of Birth
September 27, 1921
FATHER
8. Full Name Robert Ainslie Roy
9. Residence Mill Cove
10. Racial Origin English | 11. Age at last birthday 35
12. Birthplace Mill Cove
13. Occupation: —
(a) Trade or profession Fisherman
(b) Business in which employed
MOTHER
14. Full Maiden Name Nettie Mabel Jollymore
15. Residence Mill Cove
16. Racial Origin English | 17. Age at last birthday 25
18. Birthplace Mill Cove
19. Number of children of this mother (including this child)
Living 5 Dead 2 Stillborn 2
20. Occupation, if other than household duties
21. Name and Post Office address of Informant Mrs. Jennie Sharford Mill Cove, Lun.
22. Name of Doctor, nurse or other person in attendance at birth Dr. Skinner
I certify the foregoing to be true and correct to the best of my knowledge and belief.
Given under my hand this 6 October 1921
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/birth/?ID=407532
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