Female Birth Registration: Year: 1921 number: 62700791
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Registered No. 62700791
PROVINCE OF NOVA SCOTIA
CERTIFICATE OF REGISTRATION OF BIRTH
1. PLACE OF BIRTH
County of Inverness
City, Town or Village Forest Glen
2. FULL NAME OF CHILD McInnis, Dolena Florence
3. Sex of child
Female
4. Twin, triplet or other?
5. Was the child born alive?
Yes
6. Legitimate?
7. Date of Birth
April 16, 1921
FATHER
8. Full Name Angus McInnis
9. Residence Forest Glen
10. Racial Origin Scottish | 11. Age at last birthday 32
12. Birthplace Forest Glen
13. Occupation: —
(a) Trade or profession Farmer
(b) Business in which employed
MOTHER
14. Full Maiden Name Annie May Ross
15. Residence Forest Glen
16. Racial Origin Scottish | 17. Age at last birthday 27
18. Birthplace Kingross, Inverness County
19. Number of children of this mother (including this child)
Living 2 Dead Stillborn
20. Occupation, if other than household duties
21. Name and Post Office address of Informant Angus McInnis Forest Glen, Inverness County
22. Name of Doctor, nurse or other person in attendance at birth Mrs. Dolly McLeod
I certify the foregoing to be true and correct to the best of my knowledge and belief.
Given under my hand this 10 May 1921
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/birth/?ID=408740
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