Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Simmons birth Truro, Colchester County on October 18, 1921
Male Birth Registration: Year: 1921 number: 64700079
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Registered No. 64700079
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 Simmons,
3. Sex of child
Male
4. Twin, triplet or other?
5. Was the child born alive?
No
6. Legitimate?
Yes
7. Date of Birth
October 18, 1921
FATHER
8. Full Name Percy Edgar Simmons
9. Residence Kentville
10. Racial Origin Negro | 11. Age at last birthday 39
12. Birthplace Kentville
13. Occupation: —
(a) Trade or profession Laborer
(b) Business in which employed
MOTHER
14. Full Maiden Name Gertrude Adelia Lindsey
15. Residence Kentville
16. Racial Origin Negro | 17. Age at last birthday 42
18. Birthplace Kentville
19. Number of children of this mother (including this child)
Living 9 Dead 3 Stillborn 1
20. Occupation, if other than household duties
21. Name and Post Office address of Informant Mrs Percy E Simmons
22. Name of Doctor, nurse or other person in attendance at birth Drs Bentley & Eaton, Nurse R McLean
I certify the foregoing to be true and correct to the best of my knowledge and belief.
Given under my hand this 22 October 1921
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Note: African Nova Scotian