Male Birth Registration: Year: 1921 number: 64700042
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Registered No. 64700042
PROVINCE OF NOVA SCOTIA
CERTIFICATE OF REGISTRATION OF BIRTH
1. PLACE OF BIRTH
County of Colchester
City, Town or Village Riverside
2. FULL NAME OF CHILD Rogers, David Clyde
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 14, 1921
FATHER
8. Full Name James Forester Rogers
9. Residence Lr Stewiacke
10. Racial Origin English | 11. Age at last birthday 40
12. Birthplace Upper Stewiacke, Col. Co
13. Occupation: —
(a) Trade or profession Farmer
(b) Business in which employed
MOTHER
14. Full Maiden Name Nettie Isabella Brimicombe
15. Residence Lr Stewiacke
16. Racial Origin English | 17. Age at last birthday 37
18. Birthplace Admiral Rock, Hants Co
19. Number of children of this mother (including this child)
Living 7 Dead Stillborn
20. Occupation, if other than household duties
21. Name and Post Office address of Informant Mrs J F Rogers Lr Stewiacke, Col. Co
22. Name of Doctor, nurse or other person in attendance at birth Dr. H B Harvey
I certify the foregoing to be true and correct to the best of my knowledge and belief.
Given under my hand this 30 September 1921
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/birth/?ID=411683
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