Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Annie Grace Faulkner birth Cheverie, Hants County on October 21, 1921
Female Birth Registration: Year: 1921 number: 63200106
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Registered No. 63200106
PROVINCE OF NOVA SCOTIA
CERTIFICATE OF REGISTRATION OF BIRTH
1. PLACE OF BIRTH
County of Hants
City, Town or Village Cheverie
2. FULL NAME OF CHILD Faulkner, Annie Grace
3. Sex of child
Female
4. Twin, triplet or other?
5. Was the child born alive?
Yes
6. Legitimate?
Yes
7. Date of Birth
October 21, 1921
FATHER
8. Full Name Harry Prescott Faulkner
9. Residence Cheverie
10. Racial Origin English | 11. Age at last birthday 31
12. Birthplace Kempt Shore
13. Occupation: —
(a) Trade or profession Clerk
(b) Business in which employed
MOTHER
14. Full Maiden Name Mildred May Smith
15. Residence Cheverie
16. Racial Origin English | 17. Age at last birthday 25
18. Birthplace Brooklyn
19. Number of children of this mother (including this child)
Living 2 Dead Stillborn
20. Occupation, if other than household duties
21. Name and Post Office address of Informant Mrs. Harry P. Faulkner Cheverie
22. Name of Doctor, nurse or other person in attendance at birth Dr. A. Hines
I certify the foregoing to be true and correct to the best of my knowledge and belief.
Given under my hand this 29 October 1921
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