Male Birth Registration: Year: 1922 number: 40400686
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Registered No. 40400686
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, Charles Bernard
3. Sex of child
Male
4. Twin, triplet or other?
5. Was the child born alive?
Yes
6. Legitimate?
Yes
7. Date of Birth
July 16, 1922
FATHER
8. Full Name John Smith
9. Residence 55 Duke Street
10. Racial Origin Welsh | 11. Age at last birthday 55
12. Birthplace Cardiff GB
13. Occupation: —
(a) Trade or profession Engineer
(b) Business in which employed
MOTHER
14. Full Maiden Name Jane Locke
15. Residence 55 Duke St
16. Racial Origin Dutch | 17. Age at last birthday 39
18. Birthplace Halifax
19. Number of children of this mother (including this child)
Living 1 Dead 2 Stillborn
20. Occupation, if other than household duties
21. Name and Post Office address of Informant John Smith 55 Duke St
22. Name of Doctor, nurse or other person in attendance at birth Dr. Rice
I certify the foregoing to be true and correct to the best of my knowledge and belief.
Given under my hand this 5/8/22
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/birth/?ID=419065
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