Female Birth Registration: Year: 1921 number: 67300789
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Registered No. 67300789
PROVINCE OF NOVA SCOTIA
CERTIFICATE OF REGISTRATION OF BIRTH
1. PLACE OF BIRTH
County of Halifax
City, Town or Village Musquodoboit Harbour
2. FULL NAME OF CHILD Rourke, Helen Jane
3. Sex of child
Female
4. Twin, triplet or other?
5. Was the child born alive?
Yes
6. Legitimate?
7. Date of Birth
December 16, 1921
FATHER
8. Full Name William Rourke
9. Residence Musquodobit Harbour
10. Racial Origin Irish Scottish | 11. Age at last birthday 28
12. Birthplace Halifax County (Meaghers Grant(
13. Occupation: —
(a) Trade or profession Farmer
(b) Business in which employed
MOTHER
14. Full Maiden Name Gladys C Myers
15. Residence Musquodoboit Harbour
16. Racial Origin Dutch English | 17. Age at last birthday 24
18. Birthplace Halifax County Jeddore
19. Number of children of this mother (including this child)
Living 5 Dead Stillborn
20. Occupation, if other than household duties
21. Name and Post Office address of Informant Mrs Wm Rourke
22. Name of Doctor, nurse or other person in attendance at birth Dr. W J Kennedy
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=416089
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