Male Birth Registration: Year: 1921 number: 62400061
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Registered No. 62400061
PROVINCE OF NOVA SCOTIA
CERTIFICATE OF REGISTRATION OF BIRTH
1. PLACE OF BIRTH
County of Kings
City, Town or Village Starrs Point, Port Williams
2. FULL NAME OF CHILD Smith,
3. Sex of child
Male
4. Twin, triplet or other?
5. Was the child born alive?
No
6. Legitimate?
Yes
7. Date of Birth
July 24, 1921
FATHER
8. Full Name Ralph Kenneth Smith
9. Residence
10. Racial Origin English | 11. Age at last birthday 25
12. Birthplace Nova Scotia
13. Occupation: —
(a) Trade or profession Farmer
(b) Business in which employed Farming
MOTHER
14. Full Maiden Name Flora Bell Bauckman
15. Residence
16. Racial Origin English Canadian | 17. Age at last birthday 25
18. Birthplace Nova Scotia
19. Number of children of this mother (including this child)
Living 1 Dead 2 Stillborn 1
20. Occupation, if other than household duties
21. Name and Post Office address of Informant Carrie Bauckman Port Williams
22. Name of Doctor, nurse or other person in attendance at birth Doctor Elliott
I certify the foregoing to be true and correct to the best of my knowledge and belief.
Given under my hand this 5 September 1921
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/birth/?ID=408414
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