Male Birth Registration: Year: 1921 number: 64300472
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Registered No. 64300472
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 Cormier, Justin Joseph
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 21, 1921
FATHER
8. Full Name Benjamin Cormier
9. Residence 60 Park St. .Amherst , ,N.S.
10. Racial Origin French | 11. Age at last birthday 33
12. Birthplace Sackville ,N.B.
13. Occupation: —
(a) Trade or profession Iron worker
(b) Business in which employed Can. Car. Corp .
MOTHER
14. Full Maiden Name Lena Dugay
15. Residence 60 ,Park St . ,Amherst
16. Racial Origin French | 17. Age at last birthday 25
18. Birthplace Port Elgin ,N.B.
19. Number of children of this mother (including this child)
Living 4 Dead 1 Stillborn
20. Occupation, if other than household duties
21. Name and Post Office address of Informant Ben Cormier
22. Name of Doctor, nurse or other person in attendance at birth A.E. Mack Intosh
I certify the foregoing to be true and correct to the best of my knowledge and belief.
Given under my hand this 11 08 1921
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/birth/?ID=411017
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