Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Douglas Hulmore Burchal Smith birth Shubenacadie, Hants County on September 24, 1923
Male Birth Registration: Year: 1923 number: 62900937
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Registered No. 62900937
PROVINCE OF NOVA SCOTIA
CERTIFICATE OF REGISTRATION OF BIRTH
1. PLACE OF BIRTH
County of Hants
City, Town or Village Shubenacadie
2. FULL NAME OF CHILD Smith, Douglas Hulmore Burchal
3. Sex of child
Male
4. Twin, triplet or other?
5. Was the child born alive?
Yes
6. Legitimate?
Yes
7. Date of Birth
September 24, 1923
FATHER
8. Full Name Warren Percy Smith
9. Residence Shubenacadie
10. Racial Origin Dutch | 11. Age at last birthday 30
12. Birthplace Indian Road
13. Occupation: —
(a) Trade or profession Cuppering
(b) Business in which employed Teamster
MOTHER
14. Full Maiden Name Jessie Maud Moore
15. Residence Shubenacadie
16. Racial Origin Irish | 17. Age at last birthday 26
18. Birthplace East Uniacke
19. Number of children of this mother (including this child)
Living 4 Dead 2 Stillborn
20. Occupation, if other than household duties
21. Name and Post Office address of Informant Eliza Clark Shubenacadie
22. Name of Doctor, nurse or other person in attendance at birth Eliza Clark
I certify the foregoing to be true and correct to the best of my knowledge and belief.
Given under my hand this 8 September 1923
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