Female Birth Registration: Year: 1921 number: 67300408
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Registered No. 67300408
PROVINCE OF NOVA SCOTIA
CERTIFICATE OF REGISTRATION OF BIRTH
1. PLACE OF BIRTH
County of Halifax
City, Town or Village Upper Musquodoboit
2. FULL NAME OF CHILD Moore, Cymbeline Dixie
3. Sex of child
Female
4. Twin, triplet or other?
5. Was the child born alive?
Yes
6. Legitimate?
No
7. Date of Birth
August 19, 1921
FATHER
8. Full Name
9. Residence
10. Racial Origin | 11. Age at last birthday
12. Birthplace
13. Occupation: —
(a) Trade or profession
(b) Business in which employed
MOTHER
14. Full Maiden Name Irene Susan Moore
15. Residence Upper Musquodoboit
16. Racial Origin Irish | 17. Age at last birthday 16
18. Birthplace Upper Musquodoboit
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 Irene Susan Moore Upper Musquodoboit
22. Name of Doctor, nurse or other person in attendance at birth Dr. C. A. Donkin
I certify the foregoing to be true and correct to the best of my knowledge and belief.
Given under my hand this 16 September 1921
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/birth/?ID=415709
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