Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Howard Ellsworth Burgess birth South West Port Mouton, Queens County on January 26, 1922
Male Birth Registration: Year: 1922 number: 39000524
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Registered No. 39000524
PROVINCE OF NOVA SCOTIA
CERTIFICATE OF REGISTRATION OF BIRTH
1. PLACE OF BIRTH
County of Queens
City, Town or Village South West Port Mouton
2. FULL NAME OF CHILD Burgess, Howard Ellsworth
3. Sex of child
Male
4. Twin, triplet or other?
5. Was the child born alive?
Yes
6. Legitimate?
7. Date of Birth
January 26, 1922
FATHER
8. Full Name Austin Henry Burgess
9. Residence S.W. Port Mouton
10. Racial Origin | 11. Age at last birthday 29
12. Birthplace S.W. Port Mouton, Queens Co
13. Occupation: —
(a) Trade or profession Fisherman
(b) Business in which employed Fishing
MOTHER
14. Full Maiden Name Eva Dorethy Burgess
15. Residence S.W. Port Mouton
16. Racial Origin | 17. Age at last birthday 22
18. Birthplace S.W. Port Mouton, Queens Co
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 Mrs Austin Burgess South West
22. Name of Doctor, nurse or other person in attendance at birth Dr. C.S. Hennigan, Mrs Steven Inness Jr
I certify the foregoing to be true and correct to the best of my knowledge and belief.
Given under my hand this 25 February 1922
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