Female Birth Registration: Year: 1921 number: 64300882
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Registered No. 64300882
PROVINCE OF NOVA SCOTIA
CERTIFICATE OF REGISTRATION OF BIRTH
1. PLACE OF BIRTH
County of Cumberland
City, Town or Village Springhill
2. FULL NAME OF CHILD Cvitkovick, Mary Pauline
3. Sex of child
Female
4. Twin, triplet or other?
5. Was the child born alive?
Yes
6. Legitimate?
Yes
7. Date of Birth
October 13, 1921
FATHER
8. Full Name Mille Cvitkovick
9. Residence Springhill
10. Racial Origin Austrian | 11. Age at last birthday 30
12. Birthplace Yugoslavia
13. Occupation: —
(a) Trade or profession Coal mining
(b) Business in which employed
MOTHER
14. Full Maiden Name Angelina Lustrick
15. Residence Springhill
16. Racial Origin Austrian | 17. Age at last birthday 18
18. Birthplace Hamburg, Germany
19. Number of children of this mother (including this child)
Living 2 Dead Stillborn
20. Occupation, if other than household duties
21. Name and Post Office address of Informant Mille Cvitkovick Springhill
22. Name of Doctor, nurse or other person in attendance at birth Dr. RR Withrow, Mrs Laura Reid
I certify the foregoing to be true and correct to the best of my knowledge and belief.
Given under my hand this 21 October 1921
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/birth/?ID=411426
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