Birth Certificate Copy 1930

11035
NEW ZEALAND.
CERTIFIED COPY of ENTRY in the REGISTER-BOOK of BIRTHS in the District of Woodville
[R.G. No. 3.

No. (1.)
111

CHILD.
1. When born   2. Where born.
(2.) 1894   October 2nd.   Woodville, Hawke’s Bay.

Christian or First Names (only).
(3.)   Ethel Constance.   (Not present)

Sex (4.)
F.

PARENTS.
FATHER.   1. Name and Surname   2. Rank or Profession.   3. Age   4. Birthplace (5.)
(1) William Henry Nelson.   (2) Manager Freezing Works.   (3) 28 years.   (4) Waipukurau, Hawke’s Bay.

1. When Married.   2. Where Married.   3. Previous Issue of Existing Marriage.   (a.) Living – Ages each Sex.   (b.) Dead – Number each Sex. (6.)
1893 December 5th.   Wellington.

MOTHER.
1. Name and Surname   2. Maiden Surname.   3. Age   4. Birthplace. (7.)
(1) Mary Violet Nelson formerly Grant.   (2) 23 years   (3) Dunedin.

INFORMANT.
1. Signature   2. Description   3. Residence.   4. If entry a correction of a former entry, Signatures of Witnesses attesting the same. (8.)
(1) Wm. G. Crawford   (2) Agent-duly authorized in writing by father.   (3) Woodville.

REGISTRAR.
1. When registered   2. Signature of Registrar (9.)
(1) November 30th 1894.   (2) William Gibb Crawford, Registrar.

CHILD.
Name, if added or altered after Registration of Birth. (10.)

I HEREBY CERTIFY that the above is a true copy of an entry of birth in the Register-book kept in my office.

Given under my hand at Woodville, this 11 day of December, 1930

JR Mahon
Registrar.

[Fee payable: 2s 6d. for ordinary copy; 5s for copy under seal.]