Female Birth Registration: Year: 1921 number: 65900201
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Registered No. 65900201
PROVINCE OF NOVA SCOTIA
CERTIFICATE OF REGISTRATION OF BIRTH
1. PLACE OF BIRTH
County of Cape Breton
City, Town or Village French Road
2. FULL NAME OF CHILD McCormick, Mary Jane
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 8, 1921
FATHER
8. Full Name Allan D McCornick
9. Residence French Road
10. Racial Origin Scottish | 11. Age at last birthday 40
12. Birthplace French Road
13. Occupation: —
(a) Trade or profession
(b) Business in which employed Farming
MOTHER
14. Full Maiden Name Rachel McDonald
15. Residence French Road
16. Racial Origin Scottish | 17. Age at last birthday 37
18. Birthplace Birthplace
19. Number of children of this mother (including this child)
Living 3 Dead 1 Stillborn
20. Occupation, if other than household duties
21. Name and Post Office address of Informant Allan McCormick French Road, CB
22. Name of Doctor, nurse or other person in attendance at birth Mrs Angus McIntyre
I certify the foregoing to be true and correct to the best of my knowledge and belief.
Given under my hand this 25 October 1921
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/birth/?ID=412567
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