Male Birth Registration: Year: 1922 number: 60200516
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Registered No. 60200516
PROVINCE OF NOVA SCOTIA
CERTIFICATE OF REGISTRATION OF BIRTH
1. PLACE OF BIRTH
County of Yarmouth
City, Town or Village Pinkneys Point
2. FULL NAME OF CHILD Surette, Douglas John Baptist
3. Sex of child
Male
4. Twin, triplet or other?
5. Was the child born alive?
Yes
6. Legitimate?
Yes
7. Date of Birth
November 12, 1922
FATHER
8. Full Name Jerome Albert Surette
9. Residence Pinkneys Point
10. Racial Origin French | 11. Age at last birthday 36
12. Birthplace Pinkneys Point
13. Occupation: —
(a) Trade or profession Fisherman
(b) Business in which employed
MOTHER
14. Full Maiden Name Madeline Mary Clairmont
15. Residence Pinkneys Point, Yar.
16. Racial Origin French | 17. Age at last birthday 34
18. Birthplace Little River Harbour
19. Number of children of this mother (including this child)
Living 7 Dead Stillborn
20. Occupation, if other than household duties
21. Name and Post Office address of Informant Mrs Luke R Pothier Pinkneys Point, Yar.
22. Name of Doctor, nurse or other person in attendance at birth Dr. A R Melanson
I certify the foregoing to be true and correct to the best of my knowledge and belief.
Given under my hand this 3 December 1922
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/birth/?ID=420740
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