Female Birth Registration: Year: 1921 number: 64300424
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Registered No. 64300424
PROVINCE OF NOVA SCOTIA
CERTIFICATE OF REGISTRATION OF BIRTH
1. PLACE OF BIRTH
County of Cumberland
City, Town or Village Springhill
2. FULL NAME OF CHILD Chapman,
3. Sex of child
Female
4. Twin, triplet or other?
5. Was the child born alive?
No
6. Legitimate?
Yes
7. Date of Birth
May 29, 1921
FATHER
8. Full Name Clarence Elwood Chapman
9. Residence Amherst
10. Racial Origin Scottish | 11. Age at last birthday 28
12. Birthplace Amherst
13. Occupation: —
(a) Trade or profession Moulder
(b) Business in which employed
MOTHER
14. Full Maiden Name Ethel Rustin
15. Residence Amherst
16. Racial Origin English | 17. Age at last birthday 30
18. Birthplace Springhill
19. Number of children of this mother (including this child)
Living 1 Dead Stillborn 1
20. Occupation, if other than household duties
21. Name and Post Office address of Informant Clarence E. Chapman Springhill
22. Name of Doctor, nurse or other person in attendance at birth Dr. Wardrope
I certify the foregoing to be true and correct to the best of my knowledge and belief.
Given under my hand this 17 June 1921
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/birth/?ID=410969
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