Female Birth Registration: Year: 1921 number: 62100097
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Registered No. 62100097
PROVINCE OF NOVA SCOTIA
CERTIFICATE OF REGISTRATION OF BIRTH
1. PLACE OF BIRTH
County of Kings
City, Town or Village White Rock
2. FULL NAME OF CHILD Smith, Bernice Marie
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 21, 1921
FATHER
8. Full Name Howard Ralph Smith
9. Residence White Rock, Kings
10. Racial Origin White | 11. Age at last birthday 35
12. Birthplace White Rock, Kings
13. Occupation: —
(a) Trade or profession Farmer
(b) Business in which employed Farmer
MOTHER
14. Full Maiden Name Lillian May Chase
15. Residence White Rock, Kings
16. Racial Origin White | 17. Age at last birthday 32
18. Birthplace South Alton, Kings
19. Number of children of this mother (including this child)
Living 7 Dead 1 Stillborn
20. Occupation, if other than household duties
21. Name and Post Office address of Informant Howard Ralph Smith White Rock, Kings
22. Name of Doctor, nurse or other person in attendance at birth Doctor Elliott
I certify the foregoing to be true and correct to the best of my knowledge and belief.
Given under my hand this 25 Jan 1922
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/birth/?ID=408049
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