Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Grace Yvonne Young Forman birth Port Williams, Kings County on April 4, 1922
Female Birth Registration: Year: 1922 number: 62100278
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Registered No. 62100278
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 Forman, Grace Yvonne Young
3. Sex of child
Female
4. Twin, triplet or other?
5. Was the child born alive?
Yes
6. Legitimate?
Yes
7. Date of Birth
April 4, 1922
FATHER
8. Full Name Edmond Walter Forman
9. Residence Kentville
10. Racial Origin English | 11. Age at last birthday 37
12. Birthplace London, England
13. Occupation: —
(a) Trade or profession Telephone Superintendent
(b) Business in which employed Telephone
MOTHER
14. Full Maiden Name Helen Young
15. Residence Kentville
16. Racial Origin English | 17. Age at last birthday 36
18. Birthplace Twillingate, Newfoundland
19. Number of children of this mother (including this child)
Living 5 Dead Stillborn
20. Occupation, if other than household duties
21. Name and Post Office address of Informant Helen Forman P. O. B. 194 Kentville
22. Name of Doctor, nurse or other person in attendance at birth Dr. A. S. Burns, Nurse Miss Ella Wood
I certify the foregoing to be true and correct to the best of my knowledge and belief.
Given under my hand this 19 June 1922
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