Male Birth Registration: Year: 1921 number: 63100786
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Registered No. 63100786
PROVINCE OF NOVA SCOTIA
CERTIFICATE OF REGISTRATION OF BIRTH
1. PLACE OF BIRTH
County of Hants
City, Town or Village Windsor Forks
2. FULL NAME OF CHILD Fletcher,
3. Sex of child
Male
4. Twin, triplet or other?
5. Was the child born alive?
No
6. Legitimate?
Yes
7. Date of Birth
March 10, 1921
FATHER
8. Full Name William Kehoe Fletcher
9. Residence Windsor Forks
10. Racial Origin English | 11. Age at last birthday 26
12. Birthplace Windsor Fork
13. Occupation: —
(a) Trade or profession Cooper
(b) Business in which employed
MOTHER
14. Full Maiden Name Gracie May Hurlburt
15. Residence Windsor Forks
16. Racial Origin English | 17. Age at last birthday 22
18. Birthplace Falmouth
19. Number of children of this mother (including this child)
Living 2 Dead Stillborn 1
20. Occupation, if other than household duties
21. Name and Post Office address of Informant William Fletcher Windsor Forks
22. Name of Doctor, nurse or other person in attendance at birth O.B. Keddy M.D.
I certify the foregoing to be true and correct to the best of my knowledge and belief.
Given under my hand this 11 March 1921
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/birth/?ID=409256
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