Male Birth Registration: Year: 1921 number: 64300460
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Registered No. 64300460
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 Berry, Jack Donald
3. Sex of child
Male
4. Twin, triplet or other?
5. Was the child born alive?
Yes
6. Legitimate?
Yes
7. Date of Birth
June 10, 1921
FATHER
8. Full Name Harry Warren Berry
9. Residence 9 Spring St.
10. Racial Origin English | 11. Age at last birthday 21
12. Birthplace Amherst
13. Occupation: —
(a) Trade or profession Chauffeur
(b) Business in which employed Garage
MOTHER
14. Full Maiden Name Dorothy Floretta Golde
15. Residence 9 Spring St.
16. Racial Origin English | 17. Age at last birthday 20
18. Birthplace Moncton, New Brunswick
19. Number of children of this mother (including this child)
Living 11 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 Dr. Boudreau
I certify the foregoing to be true and correct to the best of my knowledge and belief.
Given under my hand this 06 Sept. 1921
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/birth/?ID=411005
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