Male Birth Registration: Year: 1922 number: 61800297
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Registered No. 61800297
PROVINCE OF NOVA SCOTIA
CERTIFICATE OF REGISTRATION OF BIRTH
1. PLACE OF BIRTH
County of Lunenburg
City, Town or Village Hebbs Cross
2. FULL NAME OF CHILD Bollivar, John Reginald
3. Sex of child
Male
4. Twin, triplet or other?
5. Was the child born alive?
Yes
6. Legitimate?
Yes
7. Date of Birth
November 12, 1922
FATHER
8. Full Name Claremont Solomon Bollivar
9. Residence Hebbs Cross
10. Racial Origin English | 11. Age at last birthday 27
12. Birthplace Hebbs Cross
13. Occupation: —
(a) Trade or profession Farming
(b) Business in which employed Farming
MOTHER
14. Full Maiden Name Ruby Advilla Rafuse
15. Residence Hebbs Cross
16. Racial Origin English | 17. Age at last birthday 21
18. Birthplace Conquerall Bank
19. Number of children of this mother (including this child)
Living 2 Dead Stillborn
20. Occupation, if other than household duties
21. Name and Post Office address of Informant C.S. Bollivar Hebbs Cross
22. Name of Doctor, nurse or other person in attendance at birth Dr. F.R. Davis
I certify the foregoing to be true and correct to the best of my knowledge and belief.
Given under my hand this 24 January 1923
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/birth/?ID=422990
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