Female Birth Registration: Year: 1921 number: 62100081
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Registered No. 62100081
PROVINCE OF NOVA SCOTIA
CERTIFICATE OF REGISTRATION OF BIRTH
1. PLACE OF BIRTH
County of Kings
City, Town or Village Hillaton
2. FULL NAME OF CHILD Wallis, Emma Phylis
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 16, 1921
FATHER
8. Full Name Walter Cleveland Wallis
9. Residence Hillaton
10. Racial Origin American | 11. Age at last birthday 33
12. Birthplace Dudley, Mass.
13. Occupation: —
(a) Trade or profession Axe Maker
(b) Business in which employed Blenkhome Axe Frd.
MOTHER
14. Full Maiden Name Winnifred Emma McGowan
15. Residence Hillaton, Kings
16. Racial Origin Canadian | 17. Age at last birthday 35
18. Birthplace Hillaton, Kings
19. Number of children of this mother (including this child)
Living 2 Dead 2 Stillborn 1
20. Occupation, if other than household duties
21. Name and Post Office address of Informant Canning, Kings
22. Name of Doctor, nurse or other person in attendance at birth Dr. Miller, Mrs Sarah West
I certify the foregoing to be true and correct to the best of my knowledge and belief.
Given under my hand this 16 January 1922
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/birth/?ID=408033
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