Male Birth Registration: Year: 1922 number: 61800116
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Registered No. 61800116
PROVINCE OF NOVA SCOTIA
CERTIFICATE OF REGISTRATION OF BIRTH
1. PLACE OF BIRTH
County of Lunenburg
City, Town or Village Chester
2. FULL NAME OF CHILD Lake, Embert Allen
3. Sex of child
Male
4. Twin, triplet or other?
5. Was the child born alive?
Yes
6. Legitimate?
Yes
7. Date of Birth
August 9, 1922
FATHER
8. Full Name Embert Morton Lake
9. Residence Summerville, Hants County
10. Racial Origin English | 11. Age at last birthday 27
12. Birthplace Nova Scotia
13. Occupation: —
(a) Trade or profession Seaman
(b) Business in which employed
MOTHER
14. Full Maiden Name Martha Jane Mosher
15. Residence Summerville, Hants County
16. Racial Origin English | 17. Age at last birthday 28
18. Birthplace Nova Scotia
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. Embert Lake Summerville, Hants County
22. Name of Doctor, nurse or other person in attendance at birth Dr. C. Dabney
I certify the foregoing to be true and correct to the best of my knowledge and belief.
Given under my hand this 26 August 1922
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/birth/?ID=422809
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