Male Birth Registration: Year: 1921 number: 64900881
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Registered No. 64900881
PROVINCE OF NOVA SCOTIA
CERTIFICATE OF REGISTRATION OF BIRTH
1. PLACE OF BIRTH
County of Colchester
City, Town or Village Kemptown
2. FULL NAME OF CHILD Grace, Joseph Wilfred
3. Sex of child
Male
4. Twin, triplet or other?
5. Was the child born alive?
Yes
6. Legitimate?
No
7. Date of Birth
January 4, 1921
FATHER
8. Full Name
9. Residence
10. Racial Origin | 11. Age at last birthday
12. Birthplace
13. Occupation: —
(a) Trade or profession
(b) Business in which employed
MOTHER
14. Full Maiden Name Edna Willena Conrad
15. Residence Kemptown
16. Racial Origin Dutch | 17. Age at last birthday 32
18. Birthplace Lunenburg
19. Number of children of this mother (including this child)
Living 6 Dead 1 Stillborn
20. Occupation, if other than household duties
21. Name and Post Office address of Informant Martin Grace
22. Name of Doctor, nurse or other person in attendance at birth Dr. M.R. Young, Millsville, Pictou
I certify the foregoing to be true and correct to the best of my knowledge and belief.
Given under my hand this 25 January 1921
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Note: Fathers info has been whited out, even though Martin Grace has been stated as the father in attached documents. Wasn't sure what to enter here.
Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/birth/?ID=411906
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