Male Birth Registration: Year: 1921 number: 66900002
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Registered No. 66900002
PROVINCE OF NOVA SCOTIA
CERTIFICATE OF REGISTRATION OF BIRTH
1. PLACE OF BIRTH
County of Annapolis
City, Town or Village Lequille
2. FULL NAME OF CHILD Francis, Ray Medford
3. Sex of child
Male
4. Twin, triplet or other?
5. Was the child born alive?
Yes
6. Legitimate?
Yes
7. Date of Birth
May 9, 1921
FATHER
8. Full Name Charles Edw. Francis
9. Residence Lequille, Anna., N.S.
10. Racial Origin Negro | 11. Age at last birthday 22
12. Birthplace Lequille
13. Occupation: —
(a) Trade or profession
(b) Business in which employed Laborer
MOTHER
14. Full Maiden Name Alberta May Burrell
15. Residence Lequille, Anna., N.S.
16. Racial Origin Negro | 17. Age at last birthday 17
18. Birthplace Lequille, Anna., N.S.
19. Number of children of this mother (including this child)
Living 2 Dead Stillborn
20. Occupation, if other than household duties
21. Name and Post Office address of Informant Lequille, Annapolis Co., N.S.
22. Name of Doctor, nurse or other person in attendance at birth Dr. L.B. Braine & Addie Jackson
I certify the foregoing to be true and correct to the best of my knowledge and belief.
Given under my hand this 12 May 1921
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Note: African Nova Scotian
Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/birth/?ID=414890
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