Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Gladstone Carlyle Headley birth Dominion No. , Cape Breton County on December 13, 1921
Male Birth Registration: Year: 1921 number: 65900576
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Registered No. 65900576
PROVINCE OF NOVA SCOTIA
CERTIFICATE OF REGISTRATION OF BIRTH
1. PLACE OF BIRTH
County of Cape Breton
City, Town or Village Dominion No.
2. FULL NAME OF CHILD Headley, Gladstone Carlyle
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 13, 1921
FATHER
8. Full Name George Leon Headley
9. Residence Dominion No. 6, Cape Breton
10. Racial Origin Colored | 11. Age at last birthday 28
12. Birthplace Barbados
13. Occupation: —
(a) Trade or profession Miner
(b) Business in which employed
MOTHER
14. Full Maiden Name Annie Jane Budge
15. Residence Dominion No. 6, Cape Breton
16. Racial Origin English | 17. Age at last birthday 23
18. Birthplace Neils Harbour, Victoria
19. Number of children of this mother (including this child)
Living 2 Dead 1 Stillborn
20. Occupation, if other than household duties
21. Name and Post Office address of Informant George S. Headley Dominion No. 6, Cape Breton
22. Name of Doctor, nurse or other person in attendance at birth Mrs. Baxter
I certify the foregoing to be true and correct to the best of my knowledge and belief.
Given under my hand this 14 December 1921
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Note: African Nova Scotian