Male Birth Registration: Year: 1921 number: 62300994
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Registered No. 62300994
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 Wallace, John Lewis
3. Sex of child
Male
4. Twin, triplet or other?
5. Was the child born alive?
Yes
6. Legitimate?
Yes
7. Date of Birth
June 1, 1921
FATHER
8. Full Name William Edward Wallace
9. Residence Church St. Port Williams
10. Racial Origin English | 11. Age at last birthday 32
12. Birthplace Avonport, Kings Co. N.S.
13. Occupation: —
(a) Trade or profession Farmer
(b) Business in which employed
MOTHER
14. Full Maiden Name Amy Louisa Chase
15. Residence Church St
16. Racial Origin English | 17. Age at last birthday 27
18. Birthplace White Rock, Kings Co. N.S.
19. Number of children of this mother (including this child)
Living 5 Dead 1 Stillborn
20. Occupation, if other than household duties
21. Name and Post Office address of Informant Glen Allan Wolfville, N.S.
22. Name of Doctor, nurse or other person in attendance at birth Glen Allan MD
I certify the foregoing to be true and correct to the best of my knowledge and belief.
Given under my hand this 15 August 1921
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/birth/?ID=408348
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