Male Birth Registration: Year: 1921 number: 63100702
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Registered No. 63100702
PROVINCE OF NOVA SCOTIA
CERTIFICATE OF REGISTRATION OF BIRTH
1. PLACE OF BIRTH
County of Hants
City, Town or Village Mapleton
2. FULL NAME OF CHILD States, Charles Erice
3. Sex of child
Male
4. Twin, triplet or other?
5. Was the child born alive?
Yes
6. Legitimate?
Yes
7. Date of Birth
January 21, 1921
FATHER
8. Full Name Howard Alonzo States
9. Residence Mapleton
10. Racial Origin Colored | 11. Age at last birthday 48
12. Birthplace Hantsport
13. Occupation: —
(a) Trade or profession Quarryman
(b) Business in which employed Hauling plaster
MOTHER
14. Full Maiden Name Gertrude Rosana Bowles
15. Residence Mapleton
16. Racial Origin Colored | 17. Age at last birthday 43
18. Birthplace Mapleton
19. Number of children of this mother (including this child)
Living 11 Dead 1 Stillborn
20. Occupation, if other than household duties
21. Name and Post Office address of Informant Mrs. Alonzo States Mapleton
22. Name of Doctor, nurse or other person in attendance at birth Dr. Bissett also Mrs. James Turner
I certify the foregoing to be true and correct to the best of my knowledge and belief.
Given under my hand this 28 January 1921
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Note: African Nova Scotian
Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/birth/?ID=409173
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