Female Birth Registration: Year: 1922 number: 67100124
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Registered No. 67100124
PROVINCE OF NOVA SCOTIA
CERTIFICATE OF REGISTRATION OF BIRTH
1. PLACE OF BIRTH
County of Halifax
City, Town or Village North Beaver Bank
2. FULL NAME OF CHILD Lively, Leota Lena
3. Sex of child
Female
4. Twin, triplet or other?
5. Was the child born alive?
Yes
6. Legitimate?
Yes
7. Date of Birth
August 30, 1922
FATHER
8. Full Name Martin Lively
9. Residence North Beaver Bank
10. Racial Origin English | 11. Age at last birthday 45
12. Birthplace Beaver Bank
13. Occupation: —
(a) Trade or profession Farmer
(b) Business in which employed
MOTHER
14. Full Maiden Name Kathleen Nan Buskirk
15. Residence North Beaver Bank
16. Racial Origin English | 17. Age at last birthday 43
18. Birthplace Dartmouth
19. Number of children of this mother (including this child)
Living 13 Dead 1 Stillborn
20. Occupation, if other than household duties
21. Name and Post Office address of Informant Martin R. Lively
22. Name of Doctor, nurse or other person in attendance at birth Dr. Addlington, Dr. Elliot,Mrs. Shunmon
I certify the foregoing to be true and correct to the best of my knowledge and belief.
Given under my hand this 6 September 1922
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/birth/?ID=430311
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