Female Birth Registration: Year: 1921 number: 66200219
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Registered No. 66200219
PROVINCE OF NOVA SCOTIA
CERTIFICATE OF REGISTRATION OF BIRTH
1. PLACE OF BIRTH
County of Cape Breton
City, Town or Village Glace Bay
2. FULL NAME OF CHILD Brochart, Josephine
3. Sex of child
Female
4. Twin, triplet or other?
5. Was the child born alive?
Yes
6. Legitimate?
Yes
7. Date of Birth
September 28, 1921
FATHER
8. Full Name Joseph Brochart
9. Residence New Aberdeen, Glace Bay, Cape Breton
10. Racial Origin French | 11. Age at last birthday 27
12. Birthplace Lievin, France
13. Occupation: —
(a) Trade or profession Miner
(b) Business in which employed Dominion Coal Ltd.
MOTHER
14. Full Maiden Name Eugenie Jacquin
15. Residence New Aberdeen, Glace Bay, Cape Breton
16. Racial Origin French | 17. Age at last birthday 21
18. Birthplace Leers, France
19. Number of children of this mother (including this child)
Living 1 Dead Stillborn
20. Occupation, if other than household duties
21. Name and Post Office address of Informant Eugine Jacquin New Aberdeen, Glace Bay, Cape Breton
22. Name of Doctor, nurse or other person in attendance at birth M. J. Sullivan
I certify the foregoing to be true and correct to the best of my knowledge and belief.
Given under my hand this 31 October 1921
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/birth/?ID=414188
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