Female Birth Registration: Year: 1922 number: 67400270
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Registered No. 67400270
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 Muise, Agnes Hilda
3. Sex of child
Female
4. Twin, triplet or other?
5. Was the child born alive?
Yes
6. Legitimate?
No
7. Date of Birth
June 25, 1922
FATHER
8. Full Name Jim Wilk Pace
9. Residence 10 Water St. Dartmouth
10. Racial Origin Irish | 11. Age at last birthday 34
12. Birthplace Dartmouth
13. Occupation: —
(a) Trade or profession Labourer
(b) Business in which employed
MOTHER
14. Full Maiden Name Dahle Muise
15. Residence 10 Water St. Dartmouth
16. Racial Origin French | 17. Age at last birthday 19
18. Birthplace Magdalen Island
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 Mrs. J.W. Pace Water St. Dartmouth
22. Name of Doctor, nurse or other person in attendance at birth Dr. Payzant
I certify the foregoing to be true and correct to the best of my knowledge and belief.
Given under my hand this 26 June 1922
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/birth/?ID=431167
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