Male Birth Registration: Year: 1921 number: 64300017
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Registered No. 64300017
PROVINCE OF NOVA SCOTIA
CERTIFICATE OF REGISTRATION OF BIRTH
1. PLACE OF BIRTH
County of Cumberland
City, Town or Village Amherst
2. FULL NAME OF CHILD Roach, Charles Frederic
3. Sex of child
Male
4. Twin, triplet or other?
5. Was the child born alive?
Yes
6. Legitimate?
Yes
7. Date of Birth
January 17, 1921
FATHER
8. Full Name Charles William Roach
9. Residence Amherst
10. Racial Origin English | 11. Age at last birthday 46
12. Birthplace Amherst
13. Occupation: —
(a) Trade or profession machinist
(b) Business in which employed
MOTHER
14. Full Maiden Name Janet Main Estabrooks
15. Residence Amherst
16. Racial Origin English | 17. Age at last birthday 38
18. Birthplace Middle Sackville, New Brunswick
19. Number of children of this mother (including this child)
Living 4 Dead Stillborn
20. Occupation, if other than household duties
21. Name and Post Office address of Informant Charles W Roach 20 Russell St, Amherst
22. Name of Doctor, nurse or other person in attendance at birth Walter R Purdy, M.D.
I certify the foregoing to be true and correct to the best of my knowledge and belief.
Given under my hand this 27 January 1921
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/birth/?ID=410562
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