Female Birth Registration: Year: 1922 number: 66900469
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Registered No. 66900469
PROVINCE OF NOVA SCOTIA
CERTIFICATE OF REGISTRATION OF BIRTH
1. PLACE OF BIRTH
County of Annapolis
City, Town or Village Middleton
2. FULL NAME OF CHILD Black, Annetta Kathleen
3. Sex of child
Female
4. Twin, triplet or other?
5. Was the child born alive?
Yes
6. Legitimate?
Yes
7. Date of Birth
July 12, 1922
FATHER
8. Full Name Percy Eldon Black
9. Residence Middleton
10. Racial Origin Scottish | 11. Age at last birthday 33
12. Birthplace Franklin, Manitoba
13. Occupation: —
(a) Trade or profession Publisher
(b) Business in which employed Printing & Publishing
MOTHER
14. Full Maiden Name Mabel Olivia Phinney
15. Residence Middleton
16. Racial Origin English | 17. Age at last birthday 30
18. Birthplace Forest Glen, Anna.
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 P E Black Middleton
22. Name of Doctor, nurse or other person in attendance at birth Dr. Messenger and Nurse Eva Cox
I certify the foregoing to be true and correct to the best of my knowledge and belief.
Given under my hand this 1 August 1922
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/birth/?ID=430028
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