Female Birth Registration: Year: 1921 number: 63700750
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Registered No. 63700750
PROVINCE OF NOVA SCOTIA
CERTIFICATE OF REGISTRATION OF BIRTH
1. PLACE OF BIRTH
County of Digby
City, Town or Village Jordantown
2. FULL NAME OF CHILD Miller, Agnes
3. Sex of child
Female
4. Twin, triplet or other?
5. Was the child born alive?
Yes
6. Legitimate?
No
7. Date of Birth
March 17, 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 Agnes Miller
15. Residence Jordantown
16. Racial Origin Colored | 17. Age at last birthday 24
18. Birthplace Jordantown
19. Number of children of this mother (including this child)
Living 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 W F Read M.D.
I certify the foregoing to be true and correct to the best of my knowledge and belief.
Given under my hand this 17 March 1921
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Note: African Nova Scotian
Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/birth/?ID=410131
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