Male Birth Registration: Year: 1920 number: 63700569
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Registered No. 63700569
PROVINCE OF NOVA SCOTIA
CERTIFICATE OF REGISTRATION OF BIRTH
1. PLACE OF BIRTH
County of Digby
City, Town or Village Freeport
2. FULL NAME OF CHILD Crocker, Clayton Shirley
3. Sex of child
Male
4. Twin, triplet or other?
5. Was the child born alive?
Yes
6. Legitimate?
Yes
7. Date of Birth
October 5, 1920
FATHER
8. Full Name Earle Vincent
9. Residence Freeport
10. Racial Origin White | 11. Age at last birthday 28
12. Birthplace Freeport
13. Occupation: —
(a) Trade or profession Mariner
(b) Business in which employed
MOTHER
14. Full Maiden Name Lola May Bates
15. Residence Freeport
16. Racial Origin White | 17. Age at last birthday 29
18. Birthplace Freeport
19. Number of children of this mother (including this child)
Living 3 Dead 1 Stillborn
20. Occupation, if other than household duties
21. Name and Post Office address of Informant E.V. Crocker Freeport, Digby Co. N.S.
22. Name of Doctor, nurse or other person in attendance at birth Dr. A. F. Weir
I certify the foregoing to be true and correct to the best of my knowledge and belief.
Given under my hand this 12 October 1920
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/birth/?ID=391668
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