Female Birth Registration: Year: 1923 number: 62900665
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Registered No. 62900665
PROVINCE OF NOVA SCOTIA
CERTIFICATE OF REGISTRATION OF BIRTH
1. PLACE OF BIRTH
County of Hants
City, Town or Village Belmont
2. FULL NAME OF CHILD Church, Shirley Adele
3. Sex of child
Female
4. Twin, triplet or other?
5. Was the child born alive?
Yes
6. Legitimate?
Yes
7. Date of Birth
March 6, 1923
FATHER
8. Full Name Edwin Dexter Church
9. Residence Belmont
10. Racial Origin English | 11. Age at last birthday 35
12. Birthplace Belmont
13. Occupation: —
(a) Trade or profession Farmer
(b) Business in which employed
MOTHER
14. Full Maiden Name Arabelle Wallace Church
15. Residence Belmont
16. Racial Origin English | 17. Age at last birthday 34
18. Birthplace Belmont
19. Number of children of this mother (including this child)
Living 4 Dead Stillborn
20. Occupation, if other than household duties
21. Name and Post Office address of Informant E.D. Church Newport
22. Name of Doctor, nurse or other person in attendance at birth O.B. Keddy M.D.
I certify the foregoing to be true and correct to the best of my knowledge and belief.
Given under my hand this 4 April 1923
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/birth/?ID=439015
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