Male Birth Registration: Year: 1921 number: 62400049
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Registered No. 62400049
PROVINCE OF NOVA SCOTIA
CERTIFICATE OF REGISTRATION OF BIRTH
1. PLACE OF BIRTH
County of Kings
City, Town or Village Morristown
2. FULL NAME OF CHILD Palmer, Gordon Arnold
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 24, 1921
FATHER
8. Full Name Gifford Lorne Palmer
9. Residence Morristown
10. Racial Origin Canadian | 11. Age at last birthday 37
12. Birthplace Morristown
13. Occupation: —
(a) Trade or profession
(b) Business in which employed Farming
MOTHER
14. Full Maiden Name Rose Adelia Fancy
15. Residence Morristown
16. Racial Origin Canadian | 17. Age at last birthday 28
18. Birthplace Vernon Mines
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 Mrs G. L. Palmer Berwick, Kings
22. Name of Doctor, nurse or other person in attendance at birth Paul Balcom, M.D.
I certify the foregoing to be true and correct to the best of my knowledge and belief.
Given under my hand this 12 July 1921
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/birth/?ID=408403
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