Male Birth Registration: Year: 1922 number: 61800252
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Registered No. 61800252
PROVINCE OF NOVA SCOTIA
CERTIFICATE OF REGISTRATION OF BIRTH
1. PLACE OF BIRTH
County of Lunenburg
City, Town or Village Gold River
2. FULL NAME OF CHILD Rafuse, Orice Emerson
3. Sex of child
Male
4. Twin, triplet or other?
5. Was the child born alive?
Yes
6. Legitimate?
Yes
7. Date of Birth
October 6, 1922
FATHER
8. Full Name Edward Albert Rafuse
9. Residence Western Shore
10. Racial Origin English | 11. Age at last birthday 20
12. Birthplace Western Shore
13. Occupation: —
(a) Trade or profession Labourer
(b) Business in which employed
MOTHER
14. Full Maiden Name Lonoy Beatrice Rafuse
15. Residence Gold River
16. Racial Origin English | 17. Age at last birthday 19
18. Birthplace Gold River
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. O. W. Kaizer Gold River
22. Name of Doctor, nurse or other person in attendance at birth Mrs. O. W. Kaizer
I certify the foregoing to be true and correct to the best of my knowledge and belief.
Given under my hand this 28 October 1923
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/birth/?ID=422945
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