Female Birth Registration: Year: 1921 number: 66200034
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Registered No. 66200034
PROVINCE OF NOVA SCOTIA
CERTIFICATE OF REGISTRATION OF BIRTH
1. PLACE OF BIRTH
County of Cape Breton
City, Town or Village Birch Grove
2. FULL NAME OF CHILD Cornforth, Thelma Grace
3. Sex of child
Female
4. Twin, triplet or other?
5. Was the child born alive?
Yes
6. Legitimate?
Yes
7. Date of Birth
August 7, 1921
FATHER
8. Full Name Henry Cornforth
9. Residence Birch Grove, Cape Breton
10. Racial Origin English | 11. Age at last birthday 28
12. Birthplace Birmingham, England
13. Occupation: —
(a) Trade or profession Miner
(b) Business in which employed Mining
MOTHER
14. Full Maiden Name Grace Leona Shepard
15. Residence Birch Grove, Cape Breton
16. Racial Origin English | 17. Age at last birthday 24
18. Birthplace Morien South, Cape Breton
19. Number of children of this mother (including this child)
Living 2 Dead Stillborn
20. Occupation, if other than household duties
21. Name and Post Office address of Informant Henry Cornforth Birch Grove, Cape Breton
22. Name of Doctor, nurse or other person in attendance at birth A. K. Roy
I certify the foregoing to be true and correct to the best of my knowledge and belief.
Given under my hand this 30 September 1921
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/birth/?ID=414004
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