Female Birth Registration: Year: 1921 number: 62000368
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Registered No. 62000368
PROVINCE OF NOVA SCOTIA
CERTIFICATE OF REGISTRATION OF BIRTH
1. PLACE OF BIRTH
County of Lunenburg
City, Town or Village Chester
2. FULL NAME OF CHILD Hiltz, Ada Louise
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 28, 1921
FATHER
8. Full Name Charles Ingraham Hiltz
9. Residence Chester
10. Racial Origin British | 11. Age at last birthday 36
12. Birthplace Windsor
13. Occupation: —
(a) Trade or profession Ophthalmologist & Jeweler
(b) Business in which employed Optician & Jewelry
MOTHER
14. Full Maiden Name Marion Ada
15. Residence Chester
16. Racial Origin British | 17. Age at last birthday 32
18. Birthplace Portsmouth, England
19. Number of children of this mother (including this child)
Living 6 Dead 1 Stillborn
20. Occupation, if other than household duties
21. Name and Post Office address of Informant Chas. I. Hiltz PO Box 139, Chester
22. Name of Doctor, nurse or other person in attendance at birth Cicil Dabney M.D. CM
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=407943
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