Female Birth Registration: Year: 1922 number: 65900776
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Registered No. 65900776
PROVINCE OF NOVA SCOTIA
CERTIFICATE OF REGISTRATION OF BIRTH
1. PLACE OF BIRTH
County of Cape Breton
City, Town or Village Mira
2. FULL NAME OF CHILD Mrazek, Agnes
3. Sex of child
Female
4. Twin, triplet or other?
5. Was the child born alive?
Yes
6. Legitimate?
Yes
7. Date of Birth
January 16, 1922
FATHER
8. Full Name Joseph Mrazek
9. Residence Hornes Road
10. Racial Origin Polish | 11. Age at last birthday 37
12. Birthplace Poland
13. Occupation: —
(a) Trade or profession Farmer
(b) Business in which employed
MOTHER
14. Full Maiden Name Mary Sikora
15. Residence Hornes Road
16. Racial Origin Polish | 17. Age at last birthday 33
18. Birthplace Poland
19. Number of children of this mother (including this child)
Living 7 Dead 2 Stillborn
20. Occupation, if other than household duties
21. Name and Post Office address of Informant Joseph Mrazek, Hornes Road
22. Name of Doctor, nurse or other person in attendance at birth Mrs Pherguson
I certify the foregoing to be true and correct to the best of my knowledge and belief.
Given under my hand this 20 February 1922
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/birth/?ID=429076
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