Male Birth Registration: Year: 1922 number: 62900114
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Registered No. 62900114
PROVINCE OF NOVA SCOTIA
CERTIFICATE OF REGISTRATION OF BIRTH
1. PLACE OF BIRTH
County of Hants
City, Town or Village Falmouth
2. FULL NAME OF CHILD Fuller, Keith Foster
3. Sex of child
Male
4. Twin, triplet or other?
5. Was the child born alive?
Yes
6. Legitimate?
Yes
7. Date of Birth
March 24, 1922
FATHER
8. Full Name Leverett Foster Fuller
9. Residence Avonport
10. Racial Origin English | 11. Age at last birthday 45
12. Birthplace Avonport
13. Occupation: —
(a) Trade or profession Farmer
(b) Business in which employed
MOTHER
14. Full Maiden Name Amelia Irene Royce Shaw
15. Residence Avonport
16. Racial Origin English | 17. Age at last birthday 34
18. Birthplace Falmouth
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 A.M. Fuller Avonport
22. Name of Doctor, nurse or other person in attendance at birth 24 April 1922
I certify the foregoing to be true and correct to the best of my knowledge and belief.
Given under my hand this
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/birth/?ID=424381
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