Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
States birth Three Mile Plains, Hants County on January 31, 1921
Female Birth Registration: Year: 1921 number: 63100705
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Registered No. 63100705
PROVINCE OF NOVA SCOTIA
CERTIFICATE OF REGISTRATION OF BIRTH
1. PLACE OF BIRTH
County of Hants
City, Town or Village Three Mile Plains
2. FULL NAME OF CHILD States,
3. Sex of child
Female
4. Twin, triplet or other?
5. Was the child born alive?
Yes
6. Legitimate?
Yes
7. Date of Birth
January 31, 1921
FATHER
8. Full Name Harold States
9. Residence Three Mile Plains
10. Racial Origin Colored | 11. Age at last birthday 20
12. Birthplace Nova Scotia
13. Occupation: —
(a) Trade or profession Quarryman
(b) Business in which employed Plaster Quarry
MOTHER
14. Full Maiden Name Iona Johnstone
15. Residence Three Mile Plains
16. Racial Origin Colored | 17. Age at last birthday 17
18. Birthplace Three Mile Plains
19. Number of children of this mother (including this child)
Living Dead 1 Stillborn
20. Occupation, if other than household duties
21. Name and Post Office address of Informant Newport Station
22. Name of Doctor, nurse or other person in attendance at birth Dr. J.W. Reid
I certify the foregoing to be true and correct to the best of my knowledge and belief.
Given under my hand this 1 February 1921
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Note: African Nova Scotian