Female Birth Registration: Year: 1921 number: 67000664
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Registered No. 67000664
PROVINCE OF NOVA SCOTIA
CERTIFICATE OF REGISTRATION OF BIRTH
1. PLACE OF BIRTH
County of Annapolis
City, Town or Village Falkland Ridge
2. FULL NAME OF CHILD Kaulback, Jean Maud
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 23, 1921
FATHER
8. Full Name Stanley P. Kaulback
9. Residence Falkland Ridge
10. Racial Origin English | 11. Age at last birthday 35
12. Birthplace Bridgetown
13. Occupation: —
(a) Trade or profession Farming
(b) Business in which employed
MOTHER
14. Full Maiden Name Emilie M. Berringer
15. Residence Falkland Ridge
16. Racial Origin English | 17. Age at last birthday 37
18. Birthplace Lunenburg
19. Number of children of this mother (including this child)
Living 8 Dead Stillborn
20. Occupation, if other than household duties
21. Name and Post Office address of Informant Stanley P. Kaulback
22. Name of Doctor, nurse or other person in attendance at birth Dr. W.H. Cole, Mrs. M. Mosher
I certify the foregoing to be true and correct to the best of my knowledge and belief.
Given under my hand this 16 May 1921
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/birth/?ID=415303
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