Female Birth Registration: Year: 1921 number: 65900330
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Registered No. 65900330
PROVINCE OF NOVA SCOTIA
CERTIFICATE OF REGISTRATION OF BIRTH
1. PLACE OF BIRTH
County of Cape Breton
City, Town or Village Dominion
2. FULL NAME OF CHILD Tomiczek, Olga
3. Sex of child
Female
4. Twin, triplet or other?
5. Was the child born alive?
Yes
6. Legitimate?
Yes
7. Date of Birth
November 1, 1921
FATHER
8. Full Name Stanley Tomiczek
9. Residence Dominion
10. Racial Origin Polish | 11. Age at last birthday 46
12. Birthplace Poland
13. Occupation: —
(a) Trade or profession Miner
(b) Business in which employed
MOTHER
14. Full Maiden Name Frances Winter
15. Residence Dominion
16. Racial Origin Polish | 17. Age at last birthday 36
18. Birthplace Poland
19. Number of children of this mother (including this child)
Living 9 Dead Stillborn
20. Occupation, if other than household duties
21. Name and Post Office address of Informant Dominion
22. Name of Doctor, nurse or other person in attendance at birth Dr. Patton and Mary Hermakowsky
I certify the foregoing to be true and correct to the best of my knowledge and belief.
Given under my hand this 11 November 1921
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/birth/?ID=412696
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