Female Birth Registration: Year: 1921 number: 62400247
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Registered No. 62400247
PROVINCE OF NOVA SCOTIA
CERTIFICATE OF REGISTRATION OF BIRTH
1. PLACE OF BIRTH
County of Kings
City, Town or Village Kingston
2. FULL NAME OF CHILD Cleveland, Doris Helene
3. Sex of child
Female
4. Twin, triplet or other?
5. Was the child born alive?
Yes
6. Legitimate?
Yes
7. Date of Birth
October 13, 1921
FATHER
8. Full Name Burpee Willis Cleveland
9. Residence Kingston
10. Racial Origin English | 11. Age at last birthday 45
12. Birthplace Wolfville, Kings
13. Occupation: —
(a) Trade or profession Farmer
(b) Business in which employed
MOTHER
14. Full Maiden Name Mabel Florence Dunsanson
15. Residence Kingston
16. Racial Origin Scottish | 17. Age at last birthday 44
18. Birthplace Gaspereaux, Kings,
19. Number of children of this mother (including this child)
Living 6 Dead Stillborn
20. Occupation, if other than household duties
21. Name and Post Office address of Informant Mrs. B.W. Cleveland Kingston
22. Name of Doctor, nurse or other person in attendance at birth Dr. P.N. Balcom
I certify the foregoing to be true and correct to the best of my knowledge and belief.
Given under my hand this 28 October 1921
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/birth/?ID=408600
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