Female Birth Registration: Year: 1921 number: 65000118
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Registered No. 65000118
PROVINCE OF NOVA SCOTIA
CERTIFICATE OF REGISTRATION OF BIRTH
1. PLACE OF BIRTH
County of Colchester
City, Town or Village Beaver Brook
2. FULL NAME OF CHILD Burris,
3. Sex of child
Female
4. Twin, triplet or other?
5. Was the child born alive?
Yes
6. Legitimate?
Yes
7. Date of Birth
May 4, 1921
FATHER
8. Full Name Fred H. Burris
9. Residence Beaver Brook
10. Racial Origin English | 11. Age at last birthday 39
12. Birthplace Green Oaks
13. Occupation: —
(a) Trade or profession Farmer
(b) Business in which employed Farming
MOTHER
14. Full Maiden Name Lucy Kennedy Dart
15. Residence Beaver Brook
16. Racial Origin English | 17. Age at last birthday 36
18. Birthplace Green Oaks
19. Number of children of this mother (including this child)
Living 6 Dead 2 Stillborn
20. Occupation, if other than household duties
21. Name and Post Office address of Informant Fred W. Burris Old Barns
22. Name of Doctor, nurse or other person in attendance at birth H.B. Harey, M.D.
I certify the foregoing to be true and correct to the best of my knowledge and belief.
Given under my hand this June 13, 1921
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/birth/?ID=412142
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