Male Birth Registration: Year: 1921 number: 64700023
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Registered No. 64700023
PROVINCE OF NOVA SCOTIA
CERTIFICATE OF REGISTRATION OF BIRTH
1. PLACE OF BIRTH
County of Colchester
City, Town or Village Truro
2. FULL NAME OF CHILD Staples, Jack Wilmot
3. Sex of child
Male
4. Twin, triplet or other?
5. Was the child born alive?
Yes
6. Legitimate?
Yes
7. Date of Birth
September 26, 1921
FATHER
8. Full Name George Vetes Staples
9. Residence 183 Arthur Street, Truro, Colchester
10. Racial Origin English | 11. Age at last birthday 33
12. Birthplace Belmont, Colchester
13. Occupation: —
(a) Trade or profession Carpenter
(b) Business in which employed Carpentry
MOTHER
14. Full Maiden Name Mary Jane Reid
15. Residence 183 Arthur Street, Truro, Colchester
16. Racial Origin English | 17. Age at last birthday 33
18. Birthplace Ishpeming, Michigan
19. Number of children of this mother (including this child)
Living 3 Dead Stillborn 1
20. Occupation, if other than household duties
21. Name and Post Office address of Informant George V. Staples 183 Arthur Street, Truro, Colchester
22. Name of Doctor, nurse or other person in attendance at birth Dr. McKinnon & Miss Darling
I certify the foregoing to be true and correct to the best of my knowledge and belief.
Given under my hand this 10 October 1921
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/birth/?ID=411664
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