Male Birth Registration: Year: 1921 number: 67600151
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Registered No. 67600151
PROVINCE OF NOVA SCOTIA
CERTIFICATE OF REGISTRATION OF BIRTH
1. PLACE OF BIRTH
County of Halifax
City, Town or Village Boutiliers Point
2. FULL NAME OF CHILD Boutilier, Ellwood Edison
3. Sex of child
Male
4. Twin, triplet or other?
5. Was the child born alive?
Yes
6. Legitimate?
Yes
7. Date of Birth
January 17, 1921
FATHER
8. Full Name Harris Edison Boutilier
9. Residence Boutiliers Point
10. Racial Origin English | 11. Age at last birthday 37
12. Birthplace Boutiliers Point
13. Occupation: —
(a) Trade or profession Lumberman Church of England
(b) Business in which employed
MOTHER
14. Full Maiden Name Fanny Evelyn Boutilier
15. Residence Boutiliers Point
16. Racial Origin English | 17. Age at last birthday 21
18. Birthplace Boutiliers Point
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 Boutiliers Point
22. Name of Doctor, nurse or other person in attendance at birth Dr. Cochran
I certify the foregoing to be true and correct to the best of my knowledge and belief.
Given under my hand this 28 January 1921
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/birth/?ID=416120
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