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Birth ID: Certificate Location: Certificate Number: Birth Location: Birth Date: Name: Immigrant ID: Sex: Parents' Home Address: Father's Name: Immigrant ID: STAT-19MAY1903-3-EEE-0003 Birth Place: Occupation: Mother's Name: Immigrant ID: SARD-17OCT1908-3-C2-0010 Birth Place: Occupation: No. of Children Born: No. of Children Now Living: Parents' Marriage Date: Parents' Marriage Place: Comments: delayed birth, registered 16-Jul-1923 at Brantford, Brant Co., ON