Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
(Dead) McInnis birth Harbourview, Inverness County on April 2, 1921
Male Birth Registration: Year: 1921 number: 62700782
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Registered No. 62700782
PROVINCE OF NOVA SCOTIA
CERTIFICATE OF REGISTRATION OF BIRTH
1. PLACE OF BIRTH
County of Inverness
City, Town or Village Harbourview
2. FULL NAME OF CHILD McInnis, (Dead)
3. Sex of child
Male
4. Twin, triplet or other?
5. Was the child born alive?
Yes
6. Legitimate?
Yes
7. Date of Birth
April 2, 1921
FATHER
8. Full Name Dan H. McInnis
9. Residence Harbourview
10. Racial Origin Scottish | 11. Age at last birthday 39
12. Birthplace Judique Intervale
13. Occupation: —
(a) Trade or profession Miner
(b) Business in which employed
MOTHER
14. Full Maiden Name Annie McLellan
15. Residence Harbourview
16. Racial Origin Scottish | 17. Age at last birthday 40
18. Birthplace Lower Hillsdale, Inverness County
19. Number of children of this mother (including this child)
Living 11 Dead 2 Stillborn
20. Occupation, if other than household duties
21. Name and Post Office address of Informant Dan H. McInnis Harbourview, Inverness County
22. Name of Doctor, nurse or other person in attendance at birth Dr. P. S. Campbell
I certify the foregoing to be true and correct to the best of my knowledge and belief.
Given under my hand this 16 Apr 1921
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