Female Birth Registration: Year: 1921 number: 67300535
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Registered No. 67300535
PROVINCE OF NOVA SCOTIA
CERTIFICATE OF REGISTRATION OF BIRTH
1. PLACE OF BIRTH
County of Halifax
City, Town or Village West Chezzetcook
2. FULL NAME OF CHILD Bellfontaine, Mary Rita
3. Sex of child
Female
4. Twin, triplet or other?
5. Was the child born alive?
Yes
6. Legitimate?
Yes
7. Date of Birth
September 13, 1921
FATHER
8. Full Name George Bellefontaine
9. Residence West Chezzetcook
10. Racial Origin French | 11. Age at last birthday 37
12. Birthplace West Chezzetcook
13. Occupation: —
(a) Trade or profession Captain on Schooner
(b) Business in which employed
MOTHER
14. Full Maiden Name Maude Lapierre
15. Residence West Chezzetcook
16. Racial Origin French | 17. Age at last birthday 27
18. Birthplace West Chezzetcook
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 George Bellefontaine West Chezzetcook
22. Name of Doctor, nurse or other person in attendance at birth W. J. Kennedy M.D.
I certify the foregoing to be true and correct to the best of my knowledge and belief.
Given under my hand this 14 September 1921
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/birth/?ID=415835
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