Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Stillbirth Mosher birth Western Head, Queens County on June 5, 1922
Male Birth Registration: Year: 1922 number: 39000615
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Registered No. 39000615
PROVINCE OF NOVA SCOTIA
CERTIFICATE OF REGISTRATION OF BIRTH
1. PLACE OF BIRTH
County of Queens
City, Town or Village Western Head
2. FULL NAME OF CHILD Mosher, Stillbirth
3. Sex of child
Male
4. Twin, triplet or other?
twin
5. Was the child born alive?
No
6. Legitimate?
Yes
7. Date of Birth
June 5, 1922
FATHER
8. Full Name William Mosher
9. Residence Western Head, Queens
10. Racial Origin English | 11. Age at last birthday 38
12. Birthplace Western Head, Queens
13. Occupation: —
(a) Trade or profession Fisherman
(b) Business in which employed Atlantic Fisheries
MOTHER
14. Full Maiden Name Annie Viola MacLean
15. Residence Malaga Gold Mines
16. Racial Origin English | 17. Age at last birthday 28
18. Birthplace Malaga Mines, Queens
19. Number of children of this mother (including this child)
Living 4 Dead 1 Stillborn 1
20. Occupation, if other than household duties
21. Name and Post Office address of Informant Mrs. Wm. Mosher Western Head, Queens
22. Name of Doctor, nurse or other person in attendance at birth Dr. T.R. Ford, Mrs. Burton Gerhardt
I certify the foregoing to be true and correct to the best of my knowledge and belief.
Given under my hand this
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