Female Birth Registration: Year: 1921 number: 62300968
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Registered No. 62300968
PROVINCE OF NOVA SCOTIA
CERTIFICATE OF REGISTRATION OF BIRTH
1. PLACE OF BIRTH
County of Kings
City, Town or Village Cambridge Station
2. FULL NAME OF CHILD Smith, Elizabeth
3. Sex of child
Female
4. Twin, triplet or other?
5. Was the child born alive?
Yes
6. Legitimate?
Yes
7. Date of Birth
May 8, 1921
FATHER
8. Full Name John Smith
9. Residence Cambridge Sta, Kings
10. Racial Origin Indian | 11. Age at last birthday 30
12. Birthplace Monticello, Maine, USA
13. Occupation: —
(a) Trade or profession Gen Laborer
(b) Business in which employed
MOTHER
14. Full Maiden Name Theresa Phillips
15. Residence Cambridge Sta. Kings
16. Racial Origin Indian | 17. Age at last birthday 27
18. Birthplace Marshville Hants Co NS
19. Number of children of this mother (including this child)
Living 5 Dead Stillborn
20. Occupation, if other than household duties
21. Name and Post Office address of Informant G McNally Berwick, NS
22. Name of Doctor, nurse or other person in attendance at birth Geo. J. McNally, MD
I certify the foregoing to be true and correct to the best of my knowledge and belief.
Given under my hand this 9 May 1921
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Note: Mi'kmaq
Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/birth/?ID=408322
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