Female Birth Registration: Year: 1921 number: 67600159
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Registered No. 67600159
PROVINCE OF NOVA SCOTIA
CERTIFICATE OF REGISTRATION OF BIRTH
1. PLACE OF BIRTH
County of Halifax
City, Town or Village Halifax
2. FULL NAME OF CHILD Smith, Kathleen Elizabeth
3. Sex of child
Female
4. Twin, triplet or other?
5. Was the child born alive?
Yes
6. Legitimate?
Yes
7. Date of Birth
January 30, 1921
FATHER
8. Full Name John Alfred Smith
9. Residence Rockingham Station
10. Racial Origin English | 11. Age at last birthday 30
12. Birthplace Halifax
13. Occupation: —
(a) Trade or profession Mechanic
(b) Business in which employed Home at present
MOTHER
14. Full Maiden Name Bessie Jane Sheppard
15. Residence Rockingham Station
16. Racial Origin Scottish | 17. Age at last birthday 36
18. Birthplace Scotland
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 John A. Smith Rockingham
22. Name of Doctor, nurse or other person in attendance at birth J.R. Corston M.D.
I certify the foregoing to be true and correct to the best of my knowledge and belief.
Given under my hand this 2 February 1921
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/birth/?ID=416127
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