Male Birth Registration: Year: 1921 number: 40900565
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Registered No. 40900565
PROVINCE OF NOVA SCOTIA
CERTIFICATE OF REGISTRATION OF BIRTH
1. PLACE OF BIRTH
County of Halifax
City, Town or Village Halifax
2. FULL NAME OF CHILD McCulloch, Douglas Haig
3. Sex of child
Male
4. Twin, triplet or other?
5. Was the child born alive?
Yes
6. Legitimate?
Yes
7. Date of Birth
January 31, 1921
FATHER
8. Full Name Harry Wilber McCulloch
9. Residence 325 North Street
10. Racial Origin Irish | 11. Age at last birthday 34
12. Birthplace Debert Sta., Colchester Co.
13. Occupation: —
(a) Trade or profession Conductor
(b) Business in which employed C. N. Rwy.
MOTHER
14. Full Maiden Name Jennie Alice Smith
15. Residence 325 North Street, Halifax, NS
16. Racial Origin Irish | 17. Age at last birthday 34
18. Birthplace North Sydney, Cape Breton Co., NS
19. Number of children of this mother (including this child)
Living 1 Dead Stillborn 1
20. Occupation, if other than household duties
21. Name and Post Office address of Informant Harry Wilber McCulloch 325 North Street, Halifax, NS
22. Name of Doctor, nurse or other person in attendance at birth Dr. A. A. Schaffner
I certify the foregoing to be true and correct to the best of my knowledge and belief.
Given under my hand this 23 March 19212
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/birth/
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