Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Rena Viola Burrell birth Clementsvale, Annapolis County on September 17, 1922
Female Birth Registration: Year: 1922 number: 66900518
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Registered No. 66900518
PROVINCE OF NOVA SCOTIA
CERTIFICATE OF REGISTRATION OF BIRTH
1. PLACE OF BIRTH
County of Annapolis
City, Town or Village Clementsvale
2. FULL NAME OF CHILD Burrell, Rena Viola
3. Sex of child
Female
4. Twin, triplet or other?
5. Was the child born alive?
Yes
6. Legitimate?
Yes
7. Date of Birth
September 17, 1922
FATHER
8. Full Name John Burrell
9. Residence Clementsvale
10. Racial Origin English | 11. Age at last birthday 37
12. Birthplace Bear River
13. Occupation: —
(a) Trade or profession Farmer
(b) Business in which employed
MOTHER
14. Full Maiden Name Eva H Potter
15. Residence Clementsvale
16. Racial Origin English | 17. Age at last birthday 35
18. Birthplace Clementsvale
19. Number of children of this mother (including this child)
Living 4 Dead Stillborn
20. Occupation, if other than household duties
21. Name and Post Office address of Informant John B Burrell Clementsvale
22. Name of Doctor, nurse or other person in attendance at birth L L Lovett
I certify the foregoing to be true and correct to the best of my knowledge and belief.
Given under my hand this 27 Sept 1922
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