Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
John Richard Zillmann birth Dominion, Cape Breton County on December 29, 1921
Male Birth Registration: Year: 1921 number: 65900513
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Registered No. 65900513
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 Zillmann, John Richard
3. Sex of child
Male
4. Twin, triplet or other?
5. Was the child born alive?
Yes
6. Legitimate?
Yes
7. Date of Birth
December 29, 1921
FATHER
8. Full Name John Zillmann
9. Residence Old Bridgeport, Cape Breton
10. Racial Origin White | 11. Age at last birthday 27
12. Birthplace Austria
13. Occupation: —
(a) Trade or profession Miner
(b) Business in which employed
MOTHER
14. Full Maiden Name Viola Roth
15. Residence Old Bridgeport, Cape Breton
16. Racial Origin White | 17. Age at last birthday 26
18. Birthplace Germany
19. Number of children of this mother (including this child)
Living 3 Dead Stillborn
20. Occupation, if other than household duties
21. Name and Post Office address of Informant
22. Name of Doctor, nurse or other person in attendance at birth Dr. Patton
I certify the foregoing to be true and correct to the best of my knowledge and belief.
Given under my hand this
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