Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Geraldene States birth Three Mile Plains, Hants County on December 12, 1923
Female Birth Registration: Year: 1923 number: 63000028
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Registered No. 63000028
PROVINCE OF NOVA SCOTIA
CERTIFICATE OF REGISTRATION OF BIRTH
1. PLACE OF BIRTH
County of Hants
City, Town or Village Three Mile Plains
2. FULL NAME OF CHILD States, Geraldene
3. Sex of child
Female
4. Twin, triplet or other?
5. Was the child born alive?
Yes
6. Legitimate?
No
7. Date of Birth
December 12, 1923
FATHER
8. Full Name
9. Residence
10. Racial Origin | 11. Age at last birthday
12. Birthplace
13. Occupation: —
(a) Trade or profession
(b) Business in which employed
MOTHER
14. Full Maiden Name Maud E. States
15. Residence Three Mile Plains
16. Racial Origin Negro | 17. Age at last birthday 18
18. Birthplace Three Mile Plains
19. Number of children of this mother (including this child)
Living Dead Stillborn
20. Occupation, if other than household duties
21. Name and Post Office address of Informant Maud E. States Three Mile Plains
22. Name of Doctor, nurse or other person in attendance at birth Dr. O.B. Keddy
I certify the foregoing to be true and correct to the best of my knowledge and belief.
Given under my hand this 22 December 1923
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Note: African Nova Scotia