Male Birth Registration: Year: 1922 number: 65800195
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Registered No. 65800195
PROVINCE OF NOVA SCOTIA
CERTIFICATE OF REGISTRATION OF BIRTH
1. PLACE OF BIRTH
County of Cape Breton
City, Town or Village Sydney Mines
2. FULL NAME OF CHILD Potter, John Jerome Riuesel
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 6, 1922
FATHER
8. Full Name William Potter
9. Residence Sydney Mines
10. Racial Origin French | 11. Age at last birthday 28
12. Birthplace Cape Breton
13. Occupation: —
(a) Trade or profession Bricklayer
(b) Business in which employed Miner
MOTHER
14. Full Maiden Name Catherine Cotie
15. Residence Sydney Mines
16. Racial Origin French | 17. Age at last birthday 22
18. Birthplace Cape Breton
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 Wm. Potter Sydney Mines
22. Name of Doctor, nurse or other person in attendance at birth Archibald; Nurse Kerr
I certify the foregoing to be true and correct to the best of my knowledge and belief.
Given under my hand this 15 Nov 1922
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/birth/?ID=428581
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