Female Birth Registration: Year: 1921 number: 62300858
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Registered No. 62300858
PROVINCE OF NOVA SCOTIA
CERTIFICATE OF REGISTRATION OF BIRTH
1. PLACE OF BIRTH
County of Kings
City, Town or Village Woodville
2. FULL NAME OF CHILD Petty, Rose Maxine
3. Sex of child
Female
4. Twin, triplet or other?
5. Was the child born alive?
Yes
6. Legitimate?
Yes
7. Date of Birth
March 14, 1921
FATHER
8. Full Name Tom Petty
9. Residence Woodville
10. Racial Origin English | 11. Age at last birthday 39
12. Birthplace Leeds, Yorkshire, England
13. Occupation: —
(a) Trade or profession Farmer
(b) Business in which employed
MOTHER
14. Full Maiden Name Ada Kirk
15. Residence Woodville
16. Racial Origin English | 17. Age at last birthday 37
18. Birthplace Enfield, Middlesex, Eng.
19. Number of children of this mother (including this child)
Living 3 Dead Stillborn
20. Occupation, if other than household duties
21. Name and Post Office address of Informant Kinsmans Corner
22. Name of Doctor, nurse or other person in attendance at birth H.E. Killam, M.D.
I certify the foregoing to be true and correct to the best of my knowledge and belief.
Given under my hand this 19 April 1921
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/birth/?ID=408212
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