Male Birth Registration: Year: 1922 number: 62100434
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Registered No. 62100434
PROVINCE OF NOVA SCOTIA
CERTIFICATE OF REGISTRATION OF BIRTH
1. PLACE OF BIRTH
County of Kings
City, Town or Village Chipman Corner
2. FULL NAME OF CHILD Medlicott Vereker, Standish
3. Sex of child
Male
4. Twin, triplet or other?
5. Was the child born alive?
Yes
6. Legitimate?
Yes
7. Date of Birth
July 13, 1922
FATHER
8. Full Name John Cayzen Medlicott Vereker
9. Residence Chipmans Corner
10. Racial Origin Irish | 11. Age at last birthday 27
12. Birthplace London, England
13. Occupation: —
(a) Trade or profession Farmer and
(b) Business in which employed apple agent
MOTHER
14. Full Maiden Name Dulcie Flores Elder Radcliffe
15. Residence Chipmans Corner
16. Racial Origin English | 17. Age at last birthday
18. Birthplace Conway, Orange County, Florida, USA
19. Number of children of this mother (including this child)
Living 3 Dead Stillborn 1
20. Occupation, if other than household duties
21. Name and Post Office address of Informant J. Medlicott Vereker Chipmans Corner
22. Name of Doctor, nurse or other person in attendance at birth Dr. D.B. Moore
I certify the foregoing to be true and correct to the best of my knowledge and belief.
Given under my hand this 14 July 1922
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/birth/?ID=423409
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