Male Birth Registration: Year: 1922 number: 67300856
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Registered No. 67300856
PROVINCE OF NOVA SCOTIA
CERTIFICATE OF REGISTRATION OF BIRTH
1. PLACE OF BIRTH
County of Halifax
City, Town or Village West Chezzetcook
2. FULL NAME OF CHILD Roma, Joseph Douglas
3. Sex of child
Male
4. Twin, triplet or other?
5. Was the child born alive?
Yes
6. Legitimate?
Yes
7. Date of Birth
January 12, 1922
FATHER
8. Full Name Clement Roma
9. Residence West Chezzetcook
10. Racial Origin French | 11. Age at last birthday 30
12. Birthplace West Chezzetcook
13. Occupation: —
(a) Trade or profession Laborer
(b) Business in which employed
MOTHER
14. Full Maiden Name Mary Rose Myette
15. Residence West Chezzetcook
16. Racial Origin French | 17. Age at last birthday 30
18. Birthplace West Chezzetcook
19. Number of children of this mother (including this child)
Living 1 Dead Stillborn
20. Occupation, if other than household duties
21. Name and Post Office address of Informant Clement Roma West Chezzetcook
22. Name of Doctor, nurse or other person in attendance at birth Mrs Evens (mid-wife)
I certify the foregoing to be true and correct to the best of my knowledge and belief.
Given under my hand this 13 January 1922
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/birth/?ID=430749
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