Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Susie Amelia Burgess birth Glace Bay, Cape Breton County on October 21, 1922
Female Birth Registration: Year: 1922 number: 65800483
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Registered No. 65800483
PROVINCE OF NOVA SCOTIA
CERTIFICATE OF REGISTRATION OF BIRTH
1. PLACE OF BIRTH
County of Cape Breton
City, Town or Village Glace Bay
2. FULL NAME OF CHILD Burgess, Susie Amelia
3. Sex of child
Female
4. Twin, triplet or other?
5. Was the child born alive?
Yes
6. Legitimate?
Yes
7. Date of Birth
October 21, 1922
FATHER
8. Full Name Frank Victor Burgess
9. Residence Glace Bay
10. Racial Origin English | 11. Age at last birthday
12. Birthplace England
13. Occupation: —
(a) Trade or profession Clerk
(b) Business in which employed
MOTHER
14. Full Maiden Name Annie Grace Langille
15. Residence
16. Racial Origin | 17. Age at last birthday
18. Birthplace
19. Number of children of this mother (including this child)
Living Dead Stillborn
20. Occupation, if other than household duties
21. Name and Post Office address of Informant Frank Victor Burgess, Glace Bay, Cape Breton
22. Name of Doctor, nurse or other person in attendance at birth Dr. A Calder
I certify the foregoing to be true and correct to the best of my knowledge and belief.
Given under my hand this 29 Dec 1928
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