Female Birth Registration: Year: 1921 number: 67000643
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Registered No. 67000643
PROVINCE OF NOVA SCOTIA
CERTIFICATE OF REGISTRATION OF BIRTH
1. PLACE OF BIRTH
County of Annapolis
City, Town or Village Port Wade
2. FULL NAME OF CHILD Coolen, Verna Bernice
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 2, 1921
FATHER
8. Full Name Clifford Stanley Coolen
9. Residence Port Wade
10. Racial Origin English | 11. Age at last birthday 23
12. Birthplace Fox Point
13. Occupation: —
(a) Trade or profession Fireman
(b) Business in which employed Construction
MOTHER
14. Full Maiden Name Myra Ellis
15. Residence Port Wade
16. Racial Origin English | 17. Age at last birthday 19
18. Birthplace Port Wade
19. Number of children of this mother (including this child)
Living 1 Dead Stillborn
20. Occupation, if other than household duties
21. Name and Post Office address of Informant Clifford S. Coolen Port Wade
22. Name of Doctor, nurse or other person in attendance at birth D. Smith, Mrs. W. Ellis
I certify the foregoing to be true and correct to the best of my knowledge and belief.
Given under my hand this 18 April 1921
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/birth/?ID=415282
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