Female Birth Registration: Year: 1921 number: 67300384
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Registered No. 67300384
PROVINCE OF NOVA SCOTIA
CERTIFICATE OF REGISTRATION OF BIRTH
1. PLACE OF BIRTH
County of Halifax
City, Town or Village Kline Heights
2. FULL NAME OF CHILD Boutilier, Carol Gladys
3. Sex of child
Female
4. Twin, triplet or other?
5. Was the child born alive?
Yes
6. Legitimate?
Yes
7. Date of Birth
August 15, 1921
FATHER
8. Full Name David Edward Boutilier
9. Residence Kline Heights
10. Racial Origin Anglo-Saxon | 11. Age at last birthday 30
12. Birthplace Halifax
13. Occupation: —
(a) Trade or profession Welder
(b) Business in which employed Unemployed
MOTHER
14. Full Maiden Name Rebe Elizabeth Lane
15. Residence Kline Heights
16. Racial Origin Anglo-Saxon | 17. Age at last birthday 30
18. Birthplace England
19. Number of children of this mother (including this child)
Living 4 Dead Stillborn
20. Occupation, if other than household duties
21. Name and Post Office address of Informant D. E. Boutilier Kline Heights, Amrdale P.O.
22. Name of Doctor, nurse or other person in attendance at birth Dr. Kirk McLennan
I certify the foregoing to be true and correct to the best of my knowledge and belief.
Given under my hand this 24 August 1921
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/birth/?ID=415685
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