Female Birth Registration: Year: 1921 number: 63200161
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Registered No. 63200161
PROVINCE OF NOVA SCOTIA
CERTIFICATE OF REGISTRATION OF BIRTH
1. PLACE OF BIRTH
County of Hants
City, Town or Village Moose Brook
2. FULL NAME OF CHILD McCulloch, Emma Minerva
3. Sex of child
Female
4. Twin, triplet or other?
5. Was the child born alive?
Yes
6. Legitimate?
Yes
7. Date of Birth
November 5, 1921
FATHER
8. Full Name John Murray McCulloch
9. Residence Moose Brook
10. Racial Origin Scottish | 11. Age at last birthday 41
12. Birthplace Tenecape
13. Occupation: —
(a) Trade or profession
(b) Business in which employed Farming
MOTHER
14. Full Maiden Name Lilly May Lingard
15. Residence Moose Brook
16. Racial Origin English | 17. Age at last birthday 23
18. Birthplace Moose Brook
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. John M. McCulloch
22. Name of Doctor, nurse or other person in attendance at birth M.A. O'Brien
I certify the foregoing to be true and correct to the best of my knowledge and belief.
Given under my hand this 30 November 1921
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/birth/?ID=409630
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