Male Birth Registration: Year: 1922 number: 61800014
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Registered No. 61800014
PROVINCE OF NOVA SCOTIA
CERTIFICATE OF REGISTRATION OF BIRTH
1. PLACE OF BIRTH
County of Lunenburg
City, Town or Village Chelsea
2. FULL NAME OF CHILD Heim, Lawrence Theodore
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 2, 1922
FATHER
8. Full Name Zola Theodore Heim
9. Residence Chelsea
10. Racial Origin English | 11. Age at last birthday 24
12. Birthplace Chelsea
13. Occupation: —
(a) Trade or profession Farmer
(b) Business in which employed
MOTHER
14. Full Maiden Name Susie Elfreeda Butler
15. Residence Chelsea
16. Racial Origin English | 17. Age at last birthday 23
18. Birthplace Chelsea
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 Mrs. Heim Chelsea
22. Name of Doctor, nurse or other person in attendance at birth Mrs. Albert Hamm
I certify the foregoing to be true and correct to the best of my knowledge and belief.
Given under my hand this 14 August 1922
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/birth/?ID=422707
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