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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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/birth/?ID=408016
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