Male Birth Registration: Year: 1921 number: 67300015
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Registered No. 67300015
PROVINCE OF NOVA SCOTIA
CERTIFICATE OF REGISTRATION OF BIRTH
1. PLACE OF BIRTH
County of Halifax
City, Town or Village Terence Bay
2. FULL NAME OF CHILD Boutilier, Herbert Wilson
3. Sex of child
Male
4. Twin, triplet or other?
5. Was the child born alive?
Yes
6. Legitimate?
Yes
7. Date of Birth
April 5, 1921
FATHER
8. Full Name Herbert Boutilier
9. Residence Terence Bay
10. Racial Origin British | 11. Age at last birthday 28
12. Birthplace Terenece Bay
13. Occupation: —
(a) Trade or profession Fisherman
(b) Business in which employed
MOTHER
14. Full Maiden Name Irene Jollimore
15. Residence Terence Bay
16. Racial Origin British | 17. Age at last birthday 20
18. Birthplace Upper Prospect
19. Number of children of this mother (including this child)
Living 2 Dead 1 Stillborn
20. Occupation, if other than household duties
21. Name and Post Office address of Informant Robert A. Slaunwhite (Post Master) Terence Bay
22. Name of Doctor, nurse or other person in attendance at birth Mrs. Annie Little
I certify the foregoing to be true and correct to the best of my knowledge and belief.
Given under my hand this 6 May 1921
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/birth/?ID=415319
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