Female Birth Registration: Year: 1921 number: 62000317
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Registered No. 62000317
PROVINCE OF NOVA SCOTIA
CERTIFICATE OF REGISTRATION OF BIRTH
1. PLACE OF BIRTH
County of Lunenburg
City, Town or Village Lunenburg
2. FULL NAME OF CHILD Backman, Violet Alice
3. Sex of child
Female
4. Twin, triplet or other?
5. Was the child born alive?
Yes
6. Legitimate?
Yes
7. Date of Birth
March 3, 1921
FATHER
8. Full Name Robert John Backman
9. Residence Lunenburg
10. Racial Origin White | 11. Age at last birthday 36
12. Birthplace Blandford, Lunenburg Co
13. Occupation: —
(a) Trade or profession Clerk
(b) Business in which employed Fishing supplies
MOTHER
14. Full Maiden Name Emily Mabel Backman
15. Residence Lunenburg
16. Racial Origin White | 17. Age at last birthday 30
18. Birthplace 2nd peninsula, Lunenburg
19. Number of children of this mother (including this child)
Living 4 Dead Stillborn
20. Occupation, if other than household duties
21. Name and Post Office address of Informant Robert J. Backman Lunenburg
22. Name of Doctor, nurse or other person in attendance at birth AEG Forbes 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 April 1921
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/birth/?ID=407892
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