Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Helen Roberta Burgess birth Stewiacke, Colchester County on April 30, 1921
Female Birth Registration: Year: 1921 number: 65000058
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Registered No. 65000058
PROVINCE OF NOVA SCOTIA
CERTIFICATE OF REGISTRATION OF BIRTH
1. PLACE OF BIRTH
County of Colchester
City, Town or Village Stewiacke
2. FULL NAME OF CHILD Burgess, Helen Roberta
3. Sex of child
Female
4. Twin, triplet or other?
5. Was the child born alive?
Yes
6. Legitimate?
Yes
7. Date of Birth
April 30, 1921
FATHER
8. Full Name Arthur W. Burgess
9. Residence Stewiacke
10. Racial Origin English | 11. Age at last birthday 32
12. Birthplace Wittenburg
13. Occupation: —
(a) Trade or profession Carpenter
(b) Business in which employed Building
MOTHER
14. Full Maiden Name Bertha M. Cruikshank
15. Residence Stewiacke
16. Racial Origin Scottish | 17. Age at last birthday 24
18. Birthplace Stewiack
19. Number of children of this mother (including this child)
Living 6 Dead Stillborn
20. Occupation, if other than household duties
21. Name and Post Office address of Informant Arthur W. Burgess Stewiacke
22. Name of Doctor, nurse or other person in attendance at birth Dr. H.B. Hanery
I certify the foregoing to be true and correct to the best of my knowledge and belief.
Given under my hand this 1 June 1921
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