Female Birth Registration: Year: 1921 number: 63300526
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Registered No. 63300526
PROVINCE OF NOVA SCOTIA
CERTIFICATE OF REGISTRATION OF BIRTH
1. PLACE OF BIRTH
County of Guysborough
City, Town or Village Larrys River
2. FULL NAME OF CHILD Avery, Theresa
3. Sex of child
Female
4. Twin, triplet or other?
5. Was the child born alive?
Yes
6. Legitimate?
Yes
7. Date of Birth
January 11, 1921
FATHER
8. Full Name Frank Avery
9. Residence Larrys River
10. Racial Origin French | 11. Age at last birthday 35
12. Birthplace Larrys River
13. Occupation: —
(a) Trade or profession Fisherman
(b) Business in which employed Fishing
MOTHER
14. Full Maiden Name Florence Pitts
15. Residence Larrys River
16. Racial Origin French | 17. Age at last birthday 32
18. Birthplace Larrys River
19. Number of children of this mother (including this child)
Living 3 Dead Stillborn
20. Occupation, if other than household duties
21. Name and Post Office address of Informant Frank Avery
22. Name of Doctor, nurse or other person in attendance at birth Mrs. Ben. Gerrior
I certify the foregoing to be true and correct to the best of my knowledge and belief.
Given under my hand this 11 Jan 1921
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/birth/?ID=409708
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