Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Bruce Wilbur Churchill birth Sandford, Yarmouth County on May 17, 1921
Male Birth Registration: Year: 1921 number: 60400003
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Registered No. 60400003
PROVINCE OF NOVA SCOTIA
CERTIFICATE OF REGISTRATION OF BIRTH
1. PLACE OF BIRTH
County of Yarmouth
City, Town or Village Sandford
2. FULL NAME OF CHILD Churchill, Bruce Wilbur
3. Sex of child
Male
4. Twin, triplet or other?
5. Was the child born alive?
Yes
6. Legitimate?
Yes
7. Date of Birth
May 17, 1921
FATHER
8. Full Name Ralph Lloyd Churchill
9. Residence Sandford
10. Racial Origin English | 11. Age at last birthday 34
12. Birthplace Yarmouth
13. Occupation: —
(a) Trade or profession Fisherman
(b) Business in which employed
MOTHER
14. Full Maiden Name Ethel Shaw
15. Residence Sandford
16. Racial Origin English | 17. Age at last birthday 31
18. Birthplace Sandford
19. Number of children of this mother (including this child)
Living 5 Dead Stillborn
20. Occupation, if other than household duties
21. Name and Post Office address of Informant Mrs. Ralph L. Churchill Sandford Yar Co.
22. Name of Doctor, nurse or other person in attendance at birth Hattie J. Crosby
I certify the foregoing to be true and correct to the best of my knowledge and belief.
Given under my hand this 2 May 1921
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