Male Birth Registration: Year: 1921 number: 66400076
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Registered No. 66400076
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 Headley, Ralph Edwin
3. Sex of child
Male
4. Twin, triplet or other?
5. Was the child born alive?
Yes
6. Legitimate?
Yes
7. Date of Birth
January 27, 1921
FATHER
8. Full Name Gladstone Adolphus Headley
9. Residence 49 Tupper St. Syd
10. Racial Origin Black | 11. Age at last birthday 23
12. Birthplace Barbados BWI
13. Occupation: —
(a) Trade or profession pastry maker
(b) Business in which employed Fireman DICS. Co
MOTHER
14. Full Maiden Name Estelle Blanch Baccus
15. Residence 49 Tupper St. Sydney
16. Racial Origin Black | 17. Age at last birthday 16
18. Birthplace Goldenville, Guysborough County
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 Gladstone A. Headley Victoria Road, Whitney Pier, Sydney
22. Name of Doctor, nurse or other person in attendance at birth Calder Liza Jane Parris
I certify the foregoing to be true and correct to the best of my knowledge and belief.
Given under my hand this 1 Feb. 1921
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Note: African Nova Scotian
Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/birth/?ID=414345
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