Male Birth Registration: Year: 1922 number: 62100126
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Registered No. 62100126
PROVINCE OF NOVA SCOTIA
CERTIFICATE OF REGISTRATION OF BIRTH
1. PLACE OF BIRTH
County of Kings
City, Town or Village Port Williams
2. FULL NAME OF CHILD Lantz, George Malcolm
3. Sex of child
Male
4. Twin, triplet or other?
5. Was the child born alive?
Yes
6. Legitimate?
Yes
7. Date of Birth
January 27, 1922
FATHER
8. Full Name Ivan John Lantz
9. Residence Port Williams
10. Racial Origin English | 11. Age at last birthday 28
12. Birthplace New Ross, Lunenburg
13. Occupation: —
(a) Trade or profession Cooper
(b) Business in which employed S. L. Gates
MOTHER
14. Full Maiden Name Elma Gladys Cleveland
15. Residence Port Williams
16. Racial Origin English | 17. Age at last birthday 26
18. Birthplace Lynn, Mass., U. S. A.
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 Ivan J. Lantz Port Williams, Kings
22. Name of Doctor, nurse or other person in attendance at birth M. R. Elliott M.D., Miss Bessy Wood- Nurse
I certify the foregoing to be true and correct to the best of my knowledge and belief.
Given under my hand this 03 March 1922
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/birth/?ID=423104
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