Female Birth Registration: Year: 1921 number: 63100744
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Registered No. 63100744
PROVINCE OF NOVA SCOTIA
CERTIFICATE OF REGISTRATION OF BIRTH
1. PLACE OF BIRTH
County of Hants
City, Town or Village Scotch Village
2. FULL NAME OF CHILD Hazel, Dora Vivian Valentine
3. Sex of child
Female
4. Twin, triplet or other?
5. Was the child born alive?
Yes
6. Legitimate?
Yes
7. Date of Birth
February 14, 1921
FATHER
8. Full Name Warren Rockwell Hazel
9. Residence Scotch Village
10. Racial Origin English | 11. Age at last birthday 45
12. Birthplace Canning
13. Occupation: —
(a) Trade or profession Farming
(b) Business in which employed Butcher
MOTHER
14. Full Maiden Name Dora Amelia Blenkhorn
15. Residence Scotch Village
16. Racial Origin English | 17. Age at last birthday 43
18. Birthplace Canning
19. Number of children of this mother (including this child)
Living 12 Dead 1 Stillborn 2
20. Occupation, if other than household duties
21. Name and Post Office address of Informant Mrs. Warren Hazel Scotch Village
22. Name of Doctor, nurse or other person in attendance at birth Dr. A.R Reid M.D.
I certify the foregoing to be true and correct to the best of my knowledge and belief.
Given under my hand this 7 March 1921
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/birth/?ID=409215
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