Male Birth Registration: Year: 1922 number: 60500921
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Registered No. 60500921
PROVINCE OF NOVA SCOTIA
CERTIFICATE OF REGISTRATION OF BIRTH
1. PLACE OF BIRTH
County of Shelburne
City, Town or Village Lower Woods Harbour
2. FULL NAME OF CHILD Nickerson, Melburne Sylvanus
3. Sex of child
Male
4. Twin, triplet or other?
5. Was the child born alive?
Yes
6. Legitimate?
Yes
7. Date of Birth
April 15, 1922
FATHER
8. Full Name John London Nickerson
9. Residence Lower Woods Harbor
10. Racial Origin English | 11. Age at last birthday 22
12. Birthplace Shag Harbor
13. Occupation: —
(a) Trade or profession Fisherman
(b) Business in which employed
MOTHER
14. Full Maiden Name Geneva Nickerson
15. Residence Lower Woods Harbor
16. Racial Origin English | 17. Age at last birthday 21
18. Birthplace Lower Woods Harbor
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 Lower Woods Harbor
22. Name of Doctor, nurse or other person in attendance at birth Mrs John Goreham H. H. Banks
I certify the foregoing to be true and correct to the best of my knowledge and belief.
Given under my hand this 29 April 1922
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/birth/?ID=420895
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