Male Birth Registration: Year: 1921 number: 67300719
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Registered No. 67300719
PROVINCE OF NOVA SCOTIA
CERTIFICATE OF REGISTRATION OF BIRTH
1. PLACE OF BIRTH
County of Halifax
City, Town or Village West Jeddore
2. FULL NAME OF CHILD Faulkner, Charles Mathue
3. Sex of child
Male
4. Twin, triplet or other?
5. Was the child born alive?
Yes
6. Legitimate?
Yes
7. Date of Birth
November 26, 1921
FATHER
8. Full Name Charles David Faulkner
9. Residence West Jeddore
10. Racial Origin English | 11. Age at last birthday 32
12. Birthplace West Jeddore
13. Occupation: —
(a) Trade or profession Mariner Church of England
(b) Business in which employed Marine & Fisheries
MOTHER
14. Full Maiden Name Gertrude Theresa Mulloney
15. Residence West Jeddore
16. Racial Origin English | 17. Age at last birthday 27
18. Birthplace Newfoundland
19. Number of children of this mother (including this child)
Living 3 Dead Stillborn
20. Occupation, if other than household duties
21. Name and Post Office address of Informant Mrs. Chas. Faulkner West Jeddore
22. Name of Doctor, nurse or other person in attendance at birth Mrs. William Ritcherson
I certify the foregoing to be true and correct to the best of my knowledge and belief.
Given under my hand this 20 December 1921
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/birth/?ID=416019
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