Male Birth Registration: Year: 1921 number: 63300630
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Registered No. 63300630
PROVINCE OF NOVA SCOTIA
CERTIFICATE OF REGISTRATION OF BIRTH
1. PLACE OF BIRTH
County of Guysborough
City, Town or Village Guysborough
2. FULL NAME OF CHILD Mansfield,
3. Sex of child
Male
4. Twin, triplet or other?
5. Was the child born alive?
No
6. Legitimate?
Yes
7. Date of Birth
May 1, 1921
FATHER
8. Full Name Joseph Mansfield
9. Residence Guysboro
10. Racial Origin Colored | 11. Age at last birthday 45
12. Birthplace Guysboro
13. Occupation: —
(a) Trade or profession Laborer
(b) Business in which employed
MOTHER
14. Full Maiden Name Charlotte Pelley
15. Residence Guysboro
16. Racial Origin English | 17. Age at last birthday 28
18. Birthplace Guysboro
19. Number of children of this mother (including this child)
Living 4 Dead 1 Stillborn 1
20. Occupation, if other than household duties
21. Name and Post Office address of Informant Joseph Mansfield Guysboro
22. Name of Doctor, nurse or other person in attendance at birth
I certify the foregoing to be true and correct to the best of my knowledge and belief.
Given under my hand this 2 May 1921
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Note: African Nova Scotian
Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/birth/?ID=409810
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