Female Birth Registration: Year: 1922 number: 61200101
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Registered No. 61200101
PROVINCE OF NOVA SCOTIA
CERTIFICATE OF REGISTRATION OF BIRTH
1. PLACE OF BIRTH
County of Pictou
City, Town or Village Pictou
2. FULL NAME OF CHILD Douglas, Grace Catherine
3. Sex of child
Female
4. Twin, triplet or other?
5. Was the child born alive?
Yes
6. Legitimate?
Yes
7. Date of Birth
May 18, 1922
FATHER
8. Full Name Daniel Douglas
9. Residence Pictou N. S.
10. Racial Origin Scottish | 11. Age at last birthday 63
12. Birthplace Pictou
13. Occupation: —
(a) Trade or profession Tailor
(b) Business in which employed
MOTHER
14. Full Maiden Name Cathlen M Douglas
15. Residence Pictou N. S
16. Racial Origin Scottish | 17. Age at last birthday 35
18. Birthplace P. E. Island
19. Number of children of this mother (including this child)
Living 8 Dead 2 Stillborn
20. Occupation, if other than household duties
21. Name and Post Office address of Informant Daniel Douglas
22. Name of Doctor, nurse or other person in attendance at birth Geo. A. Dunn
I certify the foregoing to be true and correct to the best of my knowledge and belief.
Given under my hand this 30 May 1922
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/birth/?ID=421988
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