Nova Scotia Archives

Nova Scotia Births, Marriages, and Deaths

Dorothy Rose Chase birth Port Williams, Kings County on December 8, 1921

Female Birth Registration: Year: 1921 number: 62100064

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Registered No.  62100064

PROVINCE OF NOVA SCOTIA

CERTIFICATE OF REGISTRATION OF BIRTH

1. PLACE OF BIRTH

County of Kings

City, Town or Village Port Williams

2. FULL NAME OF CHILD Chase, Dorothy Rose

3. Sex of child

Female

4. Twin, triplet or other?

5. Was the child born alive?

Yes

6. Legitimate?

Yes

7. Date of Birth

December 8, 1921

FATHER

8. Full Name Norman James Chase

9. Residence Port Williams

10. Racial Origin English Dutch | 11. Age at last birthday 29

12. Birthplace New Minas, Kings

13. Occupation: —

(a) Trade or profession Cooper

(b) Business in which employed

MOTHER

14. Full Maiden Name Ethell Maud Bauckman

15. Residence Port Williams

16. Racial Origin English Dutch | 17. Age at last birthday 28

18. Birthplace Port Williams

19. Number of children of this mother (including this child)

Living 2 Dead Stillborn

20. Occupation, if other than household duties

21. Name and Post Office address of Informant Norman Chase

22. Name of Doctor, nurse or other person in attendance at birth Dr. Elliot

I certify the foregoing to be true and correct to the best of my knowledge and belief.

Given under my hand this forth of February 1922

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