Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Agnes Marcellies Petipas birth Tracadie, Antigonish County on April 21, 1921
Female Birth Registration: Year: 1921 number: 66800364
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Registered No. 66800364
PROVINCE OF NOVA SCOTIA
CERTIFICATE OF REGISTRATION OF BIRTH
1. PLACE OF BIRTH
County of Antigonish
City, Town or Village Tracadie
2. FULL NAME OF CHILD Petipas, Agnes Marcellies
3. Sex of child
Female
4. Twin, triplet or other?
5. Was the child born alive?
Yes
6. Legitimate?
Yes
7. Date of Birth
April 21, 1921
FATHER
8. Full Name William Peter Petipas
9. Residence Tracadie
10. Racial Origin French | 11. Age at last birthday 54
12. Birthplace Tracadie
13. Occupation: —
(a) Trade or profession Farmer
(b) Business in which employed Farming
MOTHER
14. Full Maiden Name Jane Breen
15. Residence Tracadie
16. Racial Origin French | 17. Age at last birthday 37
18. Birthplace Harbour au Bouchie
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 William Peter Petipas Tracadie
22. Name of Doctor, nurse or other person in attendance at birth Mary V. Petipas
I certify the foregoing to be true and correct to the best of my knowledge and belief.
Given under my hand this
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