Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Gorden Alberton Dolliver birth Port Medway, Queens County on August 10, 1922
Male Birth Registration: Year: 1922 number: 39000669
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Registered No. 39000669
PROVINCE OF NOVA SCOTIA
CERTIFICATE OF REGISTRATION OF BIRTH
1. PLACE OF BIRTH
County of Queens
City, Town or Village Port Medway
2. FULL NAME OF CHILD Dolliver, Gorden Alberton
3. Sex of child
Male
4. Twin, triplet or other?
5. Was the child born alive?
Yes
6. Legitimate?
7. Date of Birth
August 10, 1922
FATHER
8. Full Name Arthur Otte Dolliver
9. Residence Port Medway
10. Racial Origin English | 11. Age at last birthday 38
12. Birthplace Port Medway
13. Occupation: —
(a) Trade or profession Fisherman
(b) Business in which employed
MOTHER
14. Full Maiden Name Mary Eliza Teel
15. Residence Port Medway
16. Racial Origin English | 17. Age at last birthday 39
18. Birthplace West Berlin
19. Number of children of this mother (including this child)
Living 4 Dead 1 Stillborn
20. Occupation, if other than household duties
21. Name and Post Office address of Informant Mrs F. D. Meisner Port Medway
22. Name of Doctor, nurse or other person in attendance at birth Dr. F. P Smith & Mrs. J. Wagner
I certify the foregoing to be true and correct to the best of my knowledge and belief.
Given under my hand this 26 August 1922
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