Male Birth Registration: Year: 1921 number: 61700504
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Registered No. 61700504
PROVINCE OF NOVA SCOTIA
CERTIFICATE OF REGISTRATION OF BIRTH
1. PLACE OF BIRTH
County of Lunenburg
City, Town or Village Petite Riviere
2. FULL NAME OF CHILD Heckman, Gordon Newman
3. Sex of child
Male
4. Twin, triplet or other?
5. Was the child born alive?
Yes
6. Legitimate?
Yes
7. Date of Birth
October 12, 1921
FATHER
8. Full Name Charles Newman Heckman
9. Residence Petite Riviere
10. Racial Origin German | 11. Age at last birthday 28
12. Birthplace Petite Riviere
13. Occupation: —
(a) Trade or profession Fisherman
(b) Business in which employed Fishing
MOTHER
14. Full Maiden Name Dorothy May Falt
15. Residence Petite Riviere
16. Racial Origin German English | 17. Age at last birthday 21
18. Birthplace Petite Riviere
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. Charles Heckman Petite Riviere, Lunenburg County
22. Name of Doctor, nurse or other person in attendance at birth Dr. C.B. Cameron
I certify the foregoing to be true and correct to the best of my knowledge and belief.
Given under my hand this 28 September 1921
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/birth/?ID=407623
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