Female Birth Registration: Year: 1921 number: 62300796
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Registered No. 62300796
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 Gates, Patricia Erdene
3. Sex of child
Female
4. Twin, triplet or other?
5. Was the child born alive?
Yes
6. Legitimate?
Yes
7. Date of Birth
February 28, 1921
FATHER
8. Full Name Justin Elliott Gates
9. Residence Port Williams
10. Racial Origin English | 11. Age at last birthday 27
12. Birthplace Somerville, Mass., U.S.A.
13. Occupation: —
(a) Trade or profession Cooperage
(b) Business in which employed
MOTHER
14. Full Maiden Name Viola Pearle Balcom
15. Residence Port Williams
16. Racial Origin English | 17. Age at last birthday 27
18. Birthplace Nictaux
19. Number of children of this mother (including this child)
Living 4 Dead Stillborn
20. Occupation, if other than household duties
21. Name and Post Office address of Informant Justin E. Gates Port Williams
22. Name of Doctor, nurse or other person in attendance at birth Dr. C. E. A. DeWitt
I certify the foregoing to be true and correct to the best of my knowledge and belief.
Given under my hand this 12 April 1921
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/birth/?ID=408150
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