Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Smith birth Broad Cove, Lunenburg County on June 2, 1921
Male Birth Registration: Year: 1921 number: 61700192
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Registered No. 61700192
PROVINCE OF NOVA SCOTIA
CERTIFICATE OF REGISTRATION OF BIRTH
1. PLACE OF BIRTH
County of Lunenburg
City, Town or Village Broad Cove
2. FULL NAME OF CHILD Smith,
3. Sex of child
Male
4. Twin, triplet or other?
5. Was the child born alive?
No
6. Legitimate?
Yes
7. Date of Birth
June 2, 1921
FATHER
8. Full Name Edwin Owen Smith
9. Residence Broad Cove, N.S.
10. Racial Origin English | 11. Age at last birthday 39
12. Birthplace Broad Cove, N.S.
13. Occupation: —
(a) Trade or profession Fisherman
(b) Business in which employed Fishing
MOTHER
14. Full Maiden Name Hazel Isabella McLeod
15. Residence Broad Cove, N.S.
16. Racial Origin English | 17. Age at last birthday 27
18. Birthplace Everett, Mass., U.S.A.
19. Number of children of this mother (including this child)
Living 2 Dead 4 Stillborn 2
20. Occupation, if other than household duties
21. Name and Post Office address of Informant Mrs. Arthur McLeod Cherry Hill, N.S.
22. Name of Doctor, nurse or other person in attendance at birth C.B. Cameron, M.D.
I certify the foregoing to be true and correct to the best of my knowledge and belief.
Given under my hand this 20 June 1921
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