Female Birth Registration: Year: 1921 number: 63200118
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Registered No. 63200118
PROVINCE OF NOVA SCOTIA
CERTIFICATE OF REGISTRATION OF BIRTH
1. PLACE OF BIRTH
County of Hants
City, Town or Village Mount Uniacke
2. FULL NAME OF CHILD van Buskirk, Georgie Pauline
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 28, 1921
FATHER
8. Full Name Fred Lamert van Buskirk
9. Residence Mount Uniacke
10. Racial Origin Canadian | 11. Age at last birthday 32
12. Birthplace Melvern Square
13. Occupation: —
(a) Trade or profession Labour
(b) Business in which employed Construction work
MOTHER
14. Full Maiden Name Flora Margaret Brown
15. Residence Mount Uniacke
16. Racial Origin Canadian | 17. Age at last birthday 32
18. Birthplace Parrsboro
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 Fred Lamert van Buskirk Mount Uniacke
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 26 November 1921
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/birth/?ID=409587
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