Male Birth Registration: Year: 1921 number: 61100655
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Registered No. 61100655
PROVINCE OF NOVA SCOTIA
CERTIFICATE OF REGISTRATION OF BIRTH
1. PLACE OF BIRTH
County of Pictou
City, Town or Village Mill Brook
2. FULL NAME OF CHILD Ross, Keith Garfield
3. Sex of child
Male
4. Twin, triplet or other?
5. Was the child born alive?
Yes
6. Legitimate?
Yes
7. Date of Birth
November 5, 1921
FATHER
8. Full Name Russell Dyckman Ross
9. Residence Mill Brook
10. Racial Origin Scottish | 11. Age at last birthday 26
12. Birthplace Musquodoboit, Nova Scotia
13. Occupation: —
(a) Trade or profession Farmer
(b) Business in which employed Farming
MOTHER
14. Full Maiden Name Annie MacIntosh Halliday
15. Residence Mill Brook
16. Racial Origin Scottish | 17. Age at last birthday 20
18. Birthplace Westville
19. Number of children of this mother (including this child)
Living 2 Dead Stillborn
20. Occupation, if other than household duties
21. Name and Post Office address of Informant Russell Dyckman Ross Mill Brook, Nova Scotia
22. Name of Doctor, nurse or other person in attendance at birth Dr R M Benvie
I certify the foregoing to be true and correct to the best of my knowledge and belief.
Given under my hand this 1 Dec 1921
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/birth/?ID=406791
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