Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Ellie Elmira Burgess birth Centre Burlington, Hants County on July 18, 1921
Female Birth Registration: Year: 1921 number: 63100993
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Registered No. 63100993
PROVINCE OF NOVA SCOTIA
CERTIFICATE OF REGISTRATION OF BIRTH
1. PLACE OF BIRTH
County of Hants
City, Town or Village Centre Burlington
2. FULL NAME OF CHILD Burgess, Ellie Elmira
3. Sex of child
Female
4. Twin, triplet or other?
5. Was the child born alive?
Yes
6. Legitimate?
Yes
7. Date of Birth
July 18, 1921
FATHER
8. Full Name Arthur Predie Burgess
9. Residence Centre Burlington
10. Racial Origin English | 11. Age at last birthday 26
12. Birthplace Centre Burlington
13. Occupation: —
(a) Trade or profession
(b) Business in which employed Locomotive Foreman
MOTHER
14. Full Maiden Name Lily Mary Moxon
15. Residence Centre Burlington
16. Racial Origin English | 17. Age at last birthday 24
18. Birthplace Halifax
19. Number of children of this mother (including this child)
Living 1 Dead Stillborn
20. Occupation, if other than household duties
21. Name and Post Office address of Informant Arthur Predie Burgess Centre Burlington
22. Name of Doctor, nurse or other person in attendance at birth A. Hines
I certify the foregoing to be true and correct to the best of my knowledge and belief.
Given under my hand this 21 July 1921
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