Male Birth Registration: Year: 1921 number: 64300655
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Registered No. 64300655
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 Lemoine, John Junior
3. Sex of child
Male
4. Twin, triplet or other?
5. Was the child born alive?
Yes
6. Legitimate?
Yes
7. Date of Birth
August 30, 1921
FATHER
8. Full Name John Erie Sidney LeMoine
9. Residence 21 Regent Street, Amherst, Cumberland
10. Racial Origin English | 11. Age at last birthday 31
12. Birthplace Halifax
13. Occupation: —
(a) Trade or profession Commercial Traveller
(b) Business in which employed Paint & Varnishes
MOTHER
14. Full Maiden Name Muriel Mildred Mumford
15. Residence 21 Regent Street, Amherst, Cumberland
16. Racial Origin English | 17. Age at last birthday 28
18. Birthplace Halifax
19. Number of children of this mother (including this child)
Living 1 Dead Stillborn
20. Occupation, if other than household duties
21. Name and Post Office address of Informant J. E. LeMoine 21 Regent Street, Amherst, Cumberland
22. Name of Doctor, nurse or other person in attendance at birth Dr. W. T. Purdy
I certify the foregoing to be true and correct to the best of my knowledge and belief.
Given under my hand this 1 September 1921
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/birth/?ID=411199
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