Male Birth Registration: Year: 1921 number: 66400179
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Registered No. 66400179
PROVINCE OF NOVA SCOTIA
CERTIFICATE OF REGISTRATION OF BIRTH
1. PLACE OF BIRTH
County of Cape Breton
City, Town or Village Mill Creek
2. FULL NAME OF CHILD Moore, Laurence Joseph
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 8, 1921
FATHER
8. Full Name Charles Moore
9. Residence Mill Creek, Cape Breton
10. Racial Origin English | 11. Age at last birthday 44
12. Birthplace Mill Creek, Cape Breton
13. Occupation: —
(a) Trade or profession Labourer
(b) Business in which employed Mining
MOTHER
14. Full Maiden Name Eliza Jessome
15. Residence Mill Creek, Cape Breton
16. Racial Origin French | 17. Age at last birthday 40
18. Birthplace Mill Creek, Cape Breton
19. Number of children of this mother (including this child)
Living 7 Dead 4 Stillborn
20. Occupation, if other than household duties
21. Name and Post Office address of Informant Charles Moore Mill Creek, Cape Breton
22. Name of Doctor, nurse or other person in attendance at birth Dr. McKeough
I certify the foregoing to be true and correct to the best of my knowledge and belief.
Given under my hand this 25 March 1921
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/birth/?ID=414448
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