Male Birth Registration: Year: 1921 number: 64300829
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Registered No. 64300829
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 Brine,
3. Sex of child
Male
4. Twin, triplet or other?
5. Was the child born alive?
Yes
6. Legitimate?
Yes
7. Date of Birth
October 12, 1921
FATHER
8. Full Name Fidele Brine
9. Residence 3 Douglas Lane, Amherst
10. Racial Origin French | 11. Age at last birthday 47
12. Birthplace Cape Bald, New Brunswick
13. Occupation: —
(a) Trade or profession night watchman
(b) Business in which employed Woollen Mills
MOTHER
14. Full Maiden Name Mary Burbine
15. Residence 3 Douglas Lane, Amherst
16. Racial Origin French | 17. Age at last birthday 43
18. Birthplace Joggins Mines
19. Number of children of this mother (including this child)
Living 5 Dead 6 Stillborn
20. Occupation, if other than household duties
21. Name and Post Office address of Informant Fidele Brine 3 Douglas Lane, Amherst
22. Name of Doctor, nurse or other person in attendance at birth Dr. A.E. MacKintosh
I certify the foregoing to be true and correct to the best of my knowledge and belief.
Given under my hand this 14 October 1921
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/birth/?ID=411373
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