Female Birth Registration: Year: 1921 number: 66400113
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Registered No. 66400113
PROVINCE OF NOVA SCOTIA
CERTIFICATE OF REGISTRATION OF BIRTH
1. PLACE OF BIRTH
County of Cape Breton
City, Town or Village Sydney Mines
2. FULL NAME OF CHILD Potter, Mary Heloise
3. Sex of child
Female
4. Twin, triplet or other?
5. Was the child born alive?
Yes
6. Legitimate?
Yes
7. Date of Birth
January 19, 1921
FATHER
8. Full Name John H. Potter
9. Residence Sydney Mines, Cape Breton
10. Racial Origin Scottish French | 11. Age at last birthday 30
12. Birthplace Arichat, Richmond
13. Occupation: —
(a) Trade or profession Piper Fitter
(b) Business in which employed Pipe Fitting
MOTHER
14. Full Maiden Name Cassie McDonald
15. Residence Sydney Mines, Cape Breton
16. Racial Origin Scottish | 17. Age at last birthday 23
18. Birthplace Sydney Mines, Cape Breton
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 John H. Potter Box 527, Sydney Mines, Cape Breton
22. Name of Doctor, nurse or other person in attendance at birth Dr. Archibald & Margaret McDonald
I certify the foregoing to be true and correct to the best of my knowledge and belief.
Given under my hand this 25 July 1921
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/birth/?ID=414382
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