Female Birth Registration: Year: 1921 number: 64300454
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Registered No. 64300454
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 Black, Kathleen Louise
3. Sex of child
Female
4. Twin, triplet or other?
5. Was the child born alive?
Yes
6. Legitimate?
Yes
7. Date of Birth
June 2, 1921
FATHER
8. Full Name Clarence Edward Black
9. Residence 30 Charles St, Amherst
10. Racial Origin English | 11. Age at last birthday 32
12. Birthplace Point De Bute, West. Co, NB
13. Occupation: —
(a) Trade or profession Salesman
(b) Business in which employed Wholesale Groceries
MOTHER
14. Full Maiden Name Ethel Ruth Trueman
15. Residence 30 Charles St, Amherst
16. Racial Origin English | 17. Age at last birthday 31
18. Birthplace Truemanville, Cumb. Co
19. Number of children of this mother (including this child)
Living 3 Dead 1 Stillborn
20. Occupation, if other than household duties
21. Name and Post Office address of Informant Clarence E Black Amherst
22. Name of Doctor, nurse or other person in attendance at birth Dr. Purdy
I certify the foregoing to be true and correct to the best of my knowledge and belief.
Given under my hand this 10 June 1921
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/birth/?ID=410999
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