Female Birth Registration: Year: 1921 number: 62400252
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Registered No. 62400252
PROVINCE OF NOVA SCOTIA
CERTIFICATE OF REGISTRATION OF BIRTH
1. PLACE OF BIRTH
County of Kings
City, Town or Village Aylesford
2. FULL NAME OF CHILD Gates, Jean Caroline
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 29, 1921
FATHER
8. Full Name Fred Lorimer Gates
9. Residence Parker Road, Aylesford
10. Racial Origin English | 11. Age at last birthday 21
12. Birthplace Nova Scotia
13. Occupation: —
(a) Trade or profession Farmer
(b) Business in which employed
MOTHER
14. Full Maiden Name Madeline Mildred Keddy
15. Residence Millville, Kings
16. Racial Origin English | 17. Age at last birthday 20
18. Birthplace Nova Scotia
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. Fred L. Gates Aylesford
22. Name of Doctor, nurse or other person in attendance at birth Dr. Paul Balcom
I certify the foregoing to be true and correct to the best of my knowledge and belief.
Given under my hand this 5-Dec-1921
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Note: Fathers middle name and age difficult to read but confirmed from his birth record.
Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/birth/?ID=408605
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