Female Birth Registration: Year: 1921 number: 66900162
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Registered No. 66900162
PROVINCE OF NOVA SCOTIA
CERTIFICATE OF REGISTRATION OF BIRTH
1. PLACE OF BIRTH
County of Annapolis
City, Town or Village Springfield
2. FULL NAME OF CHILD Nickerson,
3. Sex of child
Female
4. Twin, triplet or other?
5. Was the child born alive?
Yes
6. Legitimate?
Yes
7. Date of Birth
September 11, 1921
FATHER
8. Full Name Arthur L. Nickerson
9. Residence Springfield
10. Racial Origin English | 11. Age at last birthday 33
12. Birthplace Woods Harbor N.S.
13. Occupation: —
(a) Trade or profession Sir man
(b) Business in which employed Railway
MOTHER
14. Full Maiden Name Lena M. Smith
15. Residence Springfield
16. Racial Origin English | 17. Age at last birthday 29
18. Birthplace Peasant River
19. Number of children of this mother (including this child)
Living Dead 1 Stillborn
20. Occupation, if other than household duties
21. Name and Post Office address of Informant Arthur Nickerson
22. Name of Doctor, nurse or other person in attendance at birth W. T. Kenney M.D.
I certify the foregoing to be true and correct to the best of my knowledge and belief.
Given under my hand this 11 September 1921
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/birth/?ID=415050
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