Male Birth Registration: Year: 1921 number: 61700571
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Registered No. 61700571
PROVINCE OF NOVA SCOTIA
CERTIFICATE OF REGISTRATION OF BIRTH
1. PLACE OF BIRTH
County of Lunenburg
City, Town or Village Kingsburg
2. FULL NAME OF CHILD Mossman, Leroy Marshall
3. Sex of child
Male
4. Twin, triplet or other?
5. Was the child born alive?
6. Legitimate?
7. Date of Birth
November 9, 1921
FATHER
8. Full Name Archie Mossman
9. Residence Kingsburg
10. Racial Origin German | 11. Age at last birthday 20
12. Birthplace Rose Bay
13. Occupation: —
(a) Trade or profession Mariner
(b) Business in which employed
MOTHER
14. Full Maiden Name Daisy Mosher
15. Residence Kingsburg
16. Racial Origin German | 17. Age at last birthday 18
18. Birthplace KIngsburg
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 Archie Mossman Lower Rose Bay
22. Name of Doctor, nurse or other person in attendance at birth G. A. Barss
I certify the foregoing to be true and correct to the best of my knowledge and belief.
Given under my hand this 13Dec 1921
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/birth/?ID=407690
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