Birth Registration: Year: 1922 number: 67100324
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Registered No. 67100324
PROVINCE OF NOVA SCOTIA
CERTIFICATE OF REGISTRATION OF BIRTH
1. PLACE OF BIRTH
County of Halifax
City, Town or Village Dartmouth
2. FULL NAME OF CHILD Burchell, Kathleen Sarah
3. Sex of child
4. Twin, triplet or other?
5. Was the child born alive?
6. Legitimate?
7. Date of Birth
October 15, 1922
FATHER
8. Full Name Peter Burchell
9. Residence 106 Water St
10. Racial Origin English | 11. Age at last birthday 33
12. Birthplace Sydney Mines, Cape Breton
13. Occupation: —
(a) Trade or profession Labourer
(b) Business in which employed Acadian Refinery
MOTHER
14. Full Maiden Name Louisa Ford
15. Residence 106 Water St.
16. Racial Origin English | 17. Age at last birthday 23
18. Birthplace Close Bridge, England
19. Number of children of this mother (including this child)
Living 1 Dead 0 Stillborn
20. Occupation, if other than household duties
21. Name and Post Office address of Informant Peter Burchell 106 Water St. Dartmouth
22. Name of Doctor, nurse or other person in attendance at birth Dr. Burris
I certify the foregoing to be true and correct to the best of my knowledge and belief.
Given under my hand this 20 October 1923
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/birth/?ID=430510
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