Female Birth Registration: Year: 1921 number: 64300991
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Registered No. 64300991
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 Belliveau, Bertha Mary
3. Sex of child
Female
4. Twin, triplet or other?
5. Was the child born alive?
Yes
6. Legitimate?
Yes
7. Date of Birth
December 5, 1921
FATHER
8. Full Name Belliveau Eloi D
9. Residence Amherst
10. Racial Origin French | 11. Age at last birthday 40
12. Birthplace Amherst
13. Occupation: —
(a) Trade or profession Foreman
(b) Business in which employed Wood Worker
MOTHER
14. Full Maiden Name Belliveau Jennie
15. Residence Amherst
16. Racial Origin French | 17. Age at last birthday 38
18. Birthplace Amherst
19. Number of children of this mother (including this child)
Living 4 Dead 2 Stillborn
20. Occupation, if other than household duties
21. Name and Post Office address of Informant 35 York St
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/Jan/1922
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/birth/?ID=411535
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