Female Birth Registration: Year: 1921 number: 65900014
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Registered No. 65900014
PROVINCE OF NOVA SCOTIA
CERTIFICATE OF REGISTRATION OF BIRTH
1. PLACE OF BIRTH
County of Cape Breton
City, Town or Village Sydney
2. FULL NAME OF CHILD Hickey, Statia Eveyen
3. Sex of child
Female
4. Twin, triplet or other?
5. Was the child born alive?
Yes
6. Legitimate?
Yes
7. Date of Birth
October 10, 1921
FATHER
8. Full Name Lawrence Hickey
9. Residence 59 Mt Pleasant St
10. Racial Origin English | 11. Age at last birthday 23
12. Birthplace Chapel Cove, Conception Bay
13. Occupation: —
(a) Trade or profession Railroader
(b) Business in which employed D G &S Co
MOTHER
14. Full Maiden Name Ellen May Webb
15. Residence 58 Mt Pleasant Street
16. Racial Origin English | 17. Age at last birthday 20
18. Birthplace Glace Bay, CB
19. Number of children of this mother (including this child)
Living 2 Dead Stillborn
20. Occupation, if other than household duties
21. Name and Post Office address of Informant L Hickey
22. Name of Doctor, nurse or other person in attendance at birth Dr. Rice
I certify the foregoing to be true and correct to the best of my knowledge and belief.
Given under my hand this 1 Nov 1921
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/birth/?ID=412381
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