Female Birth Registration: Year: 1921 number: 64300082
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Registered No. 64300082
PROVINCE OF NOVA SCOTIA
CERTIFICATE OF REGISTRATION OF BIRTH
1. PLACE OF BIRTH
County of Cumberland
City, Town or Village Joggin Mines
2. FULL NAME OF CHILD Dauvin, Lily Ortense
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 19, 1921
FATHER
8. Full Name Joseph Dauvin
9. Residence Joggins Mines
10. Racial Origin Belgian | 11. Age at last birthday 28
12. Birthplace Couillet, Belgium
13. Occupation: —
(a) Trade or profession Miner
(b) Business in which employed Coal Mining
MOTHER
14. Full Maiden Name Laura Gilmant
15. Residence Joggins
16. Racial Origin Belgian | 17. Age at last birthday 24
18. Birthplace Marcinelle, Belgium
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 Joseph Dauvin Joggins Mines
22. Name of Doctor, nurse or other person in attendance at birth Wm Rockwell, M.D.
I certify the foregoing to be true and correct to the best of my knowledge and belief.
Given under my hand this 3 February 1921
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/birth/?ID=410627
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