Male Birth Registration: Year: 1922 number: 67100170
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Registered No. 67100170
PROVINCE OF NOVA SCOTIA
CERTIFICATE OF REGISTRATION OF BIRTH
1. PLACE OF BIRTH
County of Halifax
City, Town or Village Mineville
2. FULL NAME OF CHILD Corkum,
3. Sex of child
Male
4. Twin, triplet or other?
5. Was the child born alive?
Yes
6. Legitimate?
No
7. Date of Birth
August 1, 1922
FATHER
8. Full Name Charles Edward Shaw
9. Residence Minesville
10. Racial Origin Scottish | 11. Age at last birthday 34
12. Birthplace Minesville
13. Occupation: —
(a) Trade or profession Carpenter
(b) Business in which employed Carpenter
MOTHER
14. Full Maiden Name Bertha Alice Corkum
15. Residence Minesville
16. Racial Origin Dutch | 17. Age at last birthday 18
18. Birthplace Minesville
19. Number of children of this mother (including this child)
Living Dead 1 Stillborn
20. Occupation, if other than household duties
21. Name and Post Office address of Informant Mrs. Freeman Corkum
22. Name of Doctor, nurse or other person in attendance at birth A. M. Hebb
I certify the foregoing to be true and correct to the best of my knowledge and belief.
Given under my hand this 14-Dec-1922
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/birth/?ID=430357
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