Male Birth Registration: Year: 1921 number: 67300554
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Registered No. 67300554
PROVINCE OF NOVA SCOTIA
CERTIFICATE OF REGISTRATION OF BIRTH
1. PLACE OF BIRTH
County of Halifax
City, Town or Village Mushaboom
2. FULL NAME OF CHILD Boutilier, Maynard Gerald
3. Sex of child
Male
4. Twin, triplet or other?
5. Was the child born alive?
Yes
6. Legitimate?
Yes
7. Date of Birth
September 29, 1921
FATHER
8. Full Name Melburne Stanley Boutilier
9. Residence Mushaboom, Halifax
10. Racial Origin English | 11. Age at last birthday 30
12. Birthplace Spry Bay
13. Occupation: —
(a) Trade or profession Fishing
(b) Business in which employed Fishing
MOTHER
14. Full Maiden Name Gertrude Viola Power
15. Residence Mushboom
16. Racial Origin English | 17. Age at last birthday 28
18. Birthplace Mushaboom
19. Number of children of this mother (including this child)
Living 2 Dead Stillborn
20. Occupation, if other than household duties
21. Name and Post Office address of Informant Mrs. Melburne Boutilier Mushaboom
22. Name of Doctor, nurse or other person in attendance at birth Mrs. Samuel Boutilier
I certify the foregoing to be true and correct to the best of my knowledge and belief.
Given under my hand this 20 October 1921
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/birth/?ID=415854
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