Female Birth Registration: Year: 1921 number: 63300833
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Registered No. 63300833
PROVINCE OF NOVA SCOTIA
CERTIFICATE OF REGISTRATION OF BIRTH
1. PLACE OF BIRTH
County of Guysborough
City, Town or Village Marie Joseph
2. FULL NAME OF CHILD Cameron, Hazel Loretta
3. Sex of child
Female
4. Twin, triplet or other?
5. Was the child born alive?
Yes
6. Legitimate?
No
7. Date of Birth
November 25, 1921
FATHER
8. Full Name
9. Residence
10. Racial Origin | 11. Age at last birthday
12. Birthplace
13. Occupation: —
(a) Trade or profession
(b) Business in which employed
MOTHER
14. Full Maiden Name Jean Cameron
15. Residence Marie Joseph
16. Racial Origin Dutch | 17. Age at last birthday 17
18. Birthplace Marie Joseph
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
22. Name of Doctor, nurse or other person in attendance at birth Mrs Annie Mary Lang
I certify the foregoing to be true and correct to the best of my knowledge and belief.
Given under my hand this 28 November 1921
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/birth/?ID=410010
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