Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Peterson birth Upper Stewiacke, Colchester County on July 24, 1921
Birth Registration: Year: 1921 number: 65000257
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Registered No. 65000257
PROVINCE OF NOVA SCOTIA
CERTIFICATE OF REGISTRATION OF BIRTH
1. PLACE OF BIRTH
County of Colchester
City, Town or Village Upper Stewiacke
2. FULL NAME OF CHILD Peterson,
3. Sex of child
4. Twin, triplet or other?
5. Was the child born alive?
No
6. Legitimate?
No
7. Date of Birth
July 24, 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 Mabel Peterson
15. Residence Boston, MA
16. Racial Origin English | 17. Age at last birthday 18
18. Birthplace Boston, MA
19. Number of children of this mother (including this child)
Living Dead Stillborn
20. Occupation, if other than household duties
21. Name and Post Office address of Informant Henry Peterson Upper Stewiacke
22. Name of Doctor, nurse or other person in attendance at birth
I certify the foregoing to be true and correct to the best of my knowledge and belief.
Given under my hand this 12 Oct 1921
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