Male Birth Registration: Year: 1921 number: 66100943
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Registered No. 66100943
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 Pagka, Mike
3. Sex of child
Male
4. Twin, triplet or other?
5. Was the child born alive?
Yes
6. Legitimate?
Yes
7. Date of Birth
August 24, 1921
FATHER
8. Full Name Joe Pagka
9. Residence Sydney
10. Racial Origin Polish | 11. Age at last birthday 41
12. Birthplace Poland
13. Occupation: —
(a) Trade or profession Labour
(b) Business in which employed Dum Steel
MOTHER
14. Full Maiden Name Mary
15. Residence Sydney Terris St.
16. Racial Origin Polish | 17. Age at last birthday 32
18. Birthplace Poland
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 Whitney Pier
22. Name of Doctor, nurse or other person in attendance at birth Whitney
I certify the foregoing to be true and correct to the best of my knowledge and belief.
Given under my hand this 24 Aug 1921
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/birth/?ID=413913
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